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Lysenko A.V.

Petrovsky National Research Center of Surgery

Salagaev G.I.

Petrovsky National Research Center of Surgery

Vavilov A.V.

Petrovsky National Research Center of Surgery

Gilevskaya Yu.S.

Sechenov First Moscow State Medical University (Sechenov University)

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University (Sechenov University)

Intraoperative left ventricular rupture in cardiac surgery

Authors:

Lysenko A.V., Salagaev G.I., Vavilov A.V., Gilevskaya Yu.S., Belov Yu.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(4): 95‑99

DOI: 10.17116/hirurgia202504195

Views: 277

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Table of contents

INTRAOPERATIVE LEFT VENTRICULAR RUPTURE IN CARDIAC SURGERY
INTRAOPERATIVE LEFT VENTRICULAR RUPTURE IN CARDIAC SURGERY

To cite this article:

Lysenko AV, Salagaev GI, Vavilov AV, Gilevskaya YuS, Belov YuV. Intraoperative left ventricular rupture in cardiac surgery. Pirogov Russian Journal of Surgery. 2025;(4):95‑99. (In Russ.)
https://doi.org/10.17116/hirurgia202504195

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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Intraoperative left ventricular rupture is a rare but extremely dangerous complication in cardiac surgery. This event can lead to massive bleeding and/or cardiac tamponade, as well as critical hemodynamic disturbances. In some cases, mortality can reach 100% that emphasizes the need for timely correct diagnosis and effective treatment of this complication.

Keywords:

left ventricular rupture
mitral valve replacement
aortic valve replacement
tamponade
bleeding

Authors:

Lysenko A.V.

Petrovsky National Research Center of Surgery

Salagaev G.I.

Petrovsky National Research Center of Surgery

Vavilov A.V.

Petrovsky National Research Center of Surgery

Gilevskaya Yu.S.

Sechenov First Moscow State Medical University (Sechenov University)

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University (Sechenov University)

Received:

20.12.2024

Accepted:

12.01.2025

List of references:

  1. Roberts WC, Morrow AG. Causes of early postoperative death following cardiac valve replacement. Clinico-pathologic correlations in 64 patients studied at necropsy. J Thorac Cardiovasc Surg. 1967;54(3):422-37 
  2. Zacharias A, Groves LK, Cheanvechai C, Loop FD, Effler DB. Rupture of the posterior wall of the left ventricle after mitral valve replacement. J Thorac Cardiovasc Surg. 1975;69(2):259-63 
  3. Zacharias A. Repair of spontaneous rupture of the posterior wall of the left ventricle after mitral valve replacement. Operative Techniques in Thoracic and Cardiovascular Surgery 2003; 8 (1):36 — 41 
  4. de la Fuente A, Agudo O, Sánchez R, Fernández JL, Moriones I. Repair of left ventricular rupture after mitral valve replacement: use of a Teflon patch and glue. Ann Thorac Surg. 1999;67(6):1802-1803  https://doi.org/10.1016/s0003-4975(99)00342-2
  5. Schuetz A, Schulze C, Wildhirt SM. Off-pump epicardial tissue sealing-a novel method for atrioventricular disruption complicating mitral valve procedures. Ann Thorac Surg. 2004;78(2):569-73; discussion 573-4.  https://doi.org/10.1016/j.athoracsur.2004.02.029
  6. David TE. Left ventricular rupture after mitral valve replacement: endocardial repair with pericardial patch. J. Thorac. Cardiovasc. Surg. 1987; 93:935-936.  https://doi.org/10.1016/s0022-5223(19)37056-4
  7. David TE. Left ventricular rupture after mitral valve replacement. JTCVS Open. 2020;3:48-49  https://doi.org/10.1016/j.xjon.2020.05.004
  8. Lee ME, Tamboli M, Lee AW. Use of a sandwich technique to repair a left ventricular rupture after mitral valve replacement. Tex Heart Inst J. 2014;41(2):195-197  https://doi.org/10.14503/THIJ-12-2931
  9. Karlson KJ, Ashraf MM, Berger RL. Rupture of left ventricle following mitral valve replacement. Ann Thorac Surg. 1988;46(5):590-597  https://doi.org/10.1016/s0003-4975(10)64712-1
  10. Lysenko AV, Lednev PV, Salagaev GI, Malmina AI, Gilevskaya YuS. Surgical treatment of a potentially fatal complication after redo cardiac surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(3):313-316. (In Russ.) https://doi.org/10.17116/kardio202417031313

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