Repair of left atrioventricular disruption after mitral valve replacement using extracorporeal life support system for effective ventricular unloading

Atrioventricular (AV) disruption is a rare but fatal complication after prosthetic mitral valve replacement. Surgical management is controversial and ranges from epicardial tissue sealing to open repair using autologous or xenogenic patch techniques to autotransplantation of the heart. We report the...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2015-06, Vol.47 (6), p.1103-1104
Main Authors: Sodian, Ralf, Schmauss, Daniel, Hagl, Christian, Juchem, Gerd
Format: Article
Language:English
Subjects:
Aged
Aprotinin - therapeutic use
Drug Combinations
Extracorporeal Circulation - methods
Female
Fibrinogen - therapeutic use
Heart Injuries - etiology
Heart Injuries - therapy
Heart Valve Prosthesis Implantation - adverse effects
Hemostasis, Surgical - methods
Humans
Mitral Valve Insufficiency - surgery
Thrombin - therapeutic use
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Description
Summary:Atrioventricular (AV) disruption is a rare but fatal complication after prosthetic mitral valve replacement. Surgical management is controversial and ranges from epicardial tissue sealing to open repair using autologous or xenogenic patch techniques to autotransplantation of the heart. We report the successful repair of an AV disruption Type I using an extracorporeal life support (ECLS) system for effective ventricular unloading followed by epicardial patch closure. The surgical management of AV disruption benefits from the use of ECLS, as it allows effective decompression of the heart without requiring full heparinization.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezu308