Key result
Mediastinal fat-reinforced RV rupture repair linked to late chronic tamponade requiring reoperation.
Case Report (n=1)
No
Using large pieces of mediastinal fat to reinforce right ventricular rupture repair can lead to late chronic tamponade requiring reoperation.
Mediastinal fat reinforcement of RV rupture repair may cause late tamponade; single case leaves open optimal technique.
Advanced age and female sex are known risk factors for ventricular wall rupture during open-heart procedures. We present the case of an 83-year-old female patient with an intraoperative traumatic right ventricular free wall rupture during an aortic valve replacement procedure. Pledgetted interrupted sutures reinforced with large pieces of mediastinal fat were used for rupture repair. After 6 months, the patient was readmitted with the diagnosis of a retrosternal mediastinal mass and clinical signs of cardiac tamponade that required reoperation.
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Castaño et al. (2015) conducted a case report in Intraoperative traumatic right ventricular free wall rupture (n=1). Pledgetted interrupted sutures reinforced with large pieces of mediastinal fat was evaluated on Retrosternal mediastinal mass and clinical signs of cardiac tamponade requiring reoperation. Repair of an intraoperative right ventricular free wall rupture using pledgetted sutures reinforced with mediastinal fat resulted in late chronic tamponade requiring reoperation at 6 months.
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