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Updated: Jan 29, 2026

Biaxial Mechanical Characterizations of Atrioventricular Heart Valves
Published on: April 9, 2019
Left ventricular pseudoaneurysm following atrioventricular groove rupture after mitral valve replacement
Miha Antonic1, Anze Djordjevic1, Tamara Mohorko1
1Department of Cardiac Surgery, University Medical Centre Maribor, Maribor, Slovenia.
Abstract:
Left ventricular pseudoaneurysm is a partial cardiac rupture, contained by the surrounding pericardium that maintains communication with the left ventricular lumen. Whereas most cases of left ventricular pseudoaneurysms are related to myocardial infarction (loss of myocardial integrity), only a handful are associated with valve surgery. We present a female patient, who was admitted for elective mitral valve replacement. After the implantation of the mechanical valve, we encountered a rupture of the atrioventricular groove. After 3 months, a left ventricular pseudoaneurysm was found and the patient was reoperated. The valve was explanted and the inspection of the annulus and previously implanted pericardial patch revealed a loosened stitch on the inferior (ventricular) side. The defect was reinforced with additional stitches and the valve was reimplanted. In conclusion, we report an unusual case with two serious complications after mitral valve replacement - atrioventricular groove rupture and left ventricular pseudoaneurysm.
Insights
This case report details a rare complication following mitral valve replacement: atrioventricular groove rupture leading to left ventricular pseudoaneurysm. Prompt reoperation successfully repaired the defect and reimplanted the valve.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Left ventricular pseudoaneurysm is a rare cardiac complication, typically associated with myocardial infarction.
- Cases linked to cardiac valve surgery are uncommon, presenting unique diagnostic and management challenges.
Observation:
- A female patient developed an atrioventricular groove rupture immediately after elective mitral valve replacement.
- Three months post-surgery, a left ventricular pseudoaneurysm was diagnosed, necessitating reoperation.
Findings:
- During reoperation, a loosened stitch on the ventricular side of the pericardial patch used for mitral valve replacement was identified as the cause.
- The pseudoaneurysm was successfully repaired by reinforcing the annulus with additional stitches, followed by valve reimplantation.
Implications:
- This case highlights the potential for severe complications, including atrioventricular groove rupture and subsequent left ventricular pseudoaneurysm, after mitral valve surgery.
- It underscores the importance of meticulous surgical technique and vigilant post-operative monitoring for early detection and management of such rare events.
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