Repair of atrioventricular disruption after mitral valve replacement utilizing commando procedure principles. (1st July 2022)

• Record Type: Journal Article
• Authors: Raevsky, Evgeny; Kwanten, Lloyd; Cullen, Seamus; Stoica, Serban
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 35:Number 2(2022)
• Publication Date: 2022-07-01
• Subjects: Atrioventricular dissociation -- Commando procedure -- Mitral valve replacement -- Congenital; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivac179
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: Atrioventricular rupture is a life-threatening complication of mitral valve replacement. We present how incising the intervalvular fibrosa critically improves exposure. The aortic valve sacrifice allows access to a large atrioventricular dissociation defect and reliable repair of the anterolateral aspect of mitral valve annulus. Abstract : Atrioventricular (AV) groove disruption is caused by surgical technique or by stretch injury due to removal of posterior leaflet and untethering of left ventricle.