Interventricular septal diverticulum and rheumatic mitral valve disease identified and managed concurrently in middle age
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Key result
Concurrent repair of a left ventricular septal diverticulum and mitral valve replacement resulted in the development of severe tricuspid regurgitation.
Why the study?
Cardiac diverticula are rare but can cause arrhythmia, sudden cardiac death, and ventricular dysfunction, posing complex management decisions regarding concurrent repair during indicated cardiac surgery.
Population
A 60-year-old Maori farmer with rheumatic mitral valve disease and LV septal diverticulum
Design
Case report
Follow-up
Three months
Authors
Discussion
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Member takes
Implication
May complicate concurrent LV septal diverticulum repair during mitral surgery with severe TR; single case leaves optimal strategy open.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 60-year-old male with rheumatic mitral valve disease and a left ventricular septal diverticulum who underwent concurrent mitral valve replacement and diverticulum repair.
I
Intervention
Concurrent mitral valve replacement (31 mm Mosaic valve), biatrial Cryomaze procedure, and left ventricular septal diverticulum repair.
O
Outcome
Postoperative clinical and echocardiographic outcomes
Concurrent repair of a left ventricular septal diverticulum during mitral valve surgery can be complicated by severe tricuspid regurgitation, highlighting the need for careful consideration and patient counseling regarding surgical risks.
Limitations
- Single case report
- Aetiology of the severe tricuspid regurgitation remains unclear
- Aetiology of the postoperative tricuspid regurgitation remains unclear
Cite This Study
Barker et al. (2019) conducted a case report in Interventricular septal diverticulum and rheumatic mitral valve disease (n=1). Concurrent mitral valve replacement and left ventricular septal diverticulum repair was evaluated on Clinical outcome post-surgery. Concurrent repair of a left ventricular septal diverticulum and mitral valve replacement resulted in the development of severe tricuspid regurgitation.
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