Late atrioventricular groove disruption presenting 7 years after mitral valve replacement: a case report.

ABSTRACT:

Background

Left ventricular rupture is the most feared complication in mitral valve surgery. Despite its low incidence, mortality rates can reach up to 75%. It usually presents on the operating room with a dissecting haematoma followed by massive bleeding after discontinuing cardiopulmomary bypass. However, cardiac rupture may be contained by adherent pericardium or scar tissue leading to chronic formation of a pseudoaneurysm (PSA).

Case summary

A 44-year-old man came to our institution with acute heart failure triggered by community-acquired pneumonia. He underwent mitral valve replacement with a mechanical prosthesis 7 years before and reported suffering from chronic worsening dyspnoea for 18 months. He underwent chest computed tomography scan and cardiac magnetic resonanc

SUBMITTER: Murad CM 

PROVIDER: S-EPMC7319809 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature