Key result
Left ventricular rupture after mitral valve replacement is a highly lethal complication requiring early diagnosis and complete repair, with endoventricular repair generally preferred over epicardial approaches.
Left ventricular rupture post mitral valve replacement is a highly lethal complication with various repair techniques, none of which are currently ideal, emphasizing the importance of prevention through posterior leaflet chordae preservation.
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Highlights importance of chordal preservation to prevent post-MVR rupture; leaves optimal repair technique open.
Prevention is better than cure best applies here. As per many authors, posterior leaflet chordae preservation prevent Left ventricular rupture (LVR) and preserve LV geometry. We are presenting here 5 types of left ventricular rupture (LVR) post Mitral valve replacement (MVR) with different methods to repair with the advantages and disadvantages of each. The mortality rate is still very high despite the advances in cardiac surgery. Many therapeutic approaches have been adopted. Yet, none is ideal.
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Sersar et al. (2009) conducted a review in Left ventricular rupture post mitral valve replacement. Surgical repair techniques for left ventricular rupture was evaluated. Left ventricular rupture after mitral valve replacement is a highly lethal complication requiring early diagnosis and complete repair, with endoventricular repair generally preferred over epicardial approaches.
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