{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T16:53:46Z","timestamp":1778000026173,"version":"3.51.4"},"reference-count":9,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>One difficulty with external repair of left ventricular rupture after mitral valve replacement is collateral bleeding in friable myocardium adjacent to the rupture. The bleeding is caused by tension on the closing sutures, whether or not pledgets have been used.<\/jats:p>\n        <jats:p>We report the case of a 69-year-old woman who underwent an uneventful mitral valve replacement. After cardiopulmonary bypass was terminated, brisk bleeding started from high in the posterior left ventricular wall, typical of a type III defect. We undertook external repair, placing a plug of Teflon felt into the cavity of the rupture and sandwiching it into place with pledgeted mattress and figure-of-8 sutures. The space occupied by the plug decreased the distance needed to obliterate the defect and thereby reduced the tension on the sutures necessary to achieve hemostasis. This simple technique enabled closure of the defect and avoided collateral tears that would have compromised an otherwise successful repair. Two years postoperatively, the patient had normal mitral valve function and no left ventricular aneurysm. In addition to reporting the patient's case, we review the types of left ventricular rupture that can occur during mitral valve replacement and discuss the various repair options.<\/jats:p>","DOI":"10.14503\/thij-12-2931","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T16:43:24Z","timestamp":1396370604000},"page":"195-197","source":"Crossref","is-referenced-by-count":4,"title":["Use of a Sandwich Technique to Repair a Left Ventricular Rupture after Mitral Valve Replacement"],"prefix":"10.14503","volume":"41","author":[{"given":"Myles E.","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallika","family":"Tamboli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony W.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"3","key":"i0730-2347-41-2-195-b1","series-title":"J Thorac Cardiovasc Surg","first-page":"422","article-title":"Causes of early postoperative death following cardiac valve replacement. Clinicopathologic correlations in 64 patients studied at necropsy","volume":"54","year":"1967","unstructured":"Roberts\n              WC\n            , MorrowAG.\n          Causes of early postoperative death following cardiac valve replacement. Clinicopathologic correlations in 64 patients studied at necropsy. J Thorac Cardiovasc Surg1967;54(3):422\u201337."},{"issue":"5","key":"i0730-2347-41-2-195-b2","series-title":"Chest","first-page":"511","article-title":"Intraoperative left ventricular rupture associated with mitral valve replacement","volume":"66","year":"1974","unstructured":"Treasure\n              RL\n            , RainerWG, StreveyTE, SadlerTR.\n          Intraoperative left ventricular rupture associated with mitral valve replacement. Chest1974;66(5):511\u20134."},{"issue":"1","key":"i0730-2347-41-2-195-b3","series-title":"Ann Thorac Surg","first-page":"22","article-title":"Does preservation of the posterior chordae tendineae enhance survival during mitral valve replacement?","volume":"28","year":"1979","unstructured":"Miller\n              DW\n              Jr\n            , JohnsonDD, IveyTD.\n          Does preservation of the posterior chordae tendineae enhance survival during mitral valve replacement?\n          Ann Thorac Surg\n          1979;28(1):22\u20137."},{"issue":"1","key":"i0730-2347-41-2-195-b4","series-title":"Ann Thorac Surg","first-page":"28","article-title":"Mitral valve replacement with preservation of chordae tendineae and papillary muscles","volume":"45","year":"1988","unstructured":"Miki\n              S\n            , KusuharaK, UedaY, KomedaM, OhkitaY, TahataT.\n          Mitral valve replacement with preservation of chordae tendineae and papillary muscles. Ann Thorac Surg1988;45(1):28\u201334."},{"issue":"1","key":"i0730-2347-41-2-195-b5","series-title":"Asian Cardiovasc Thorac Ann","first-page":"26","article-title":"Left ventricular rupture after mitral valve replacement: a report of 13 cases","volume":"14","year":"2006","unstructured":"Zhang\n              HJ\n            , MaWG, XuJP, HuSS, ZhuXD.\n          Left ventricular rupture after mitral valve replacement: a report of 13 cases. Asian Cardiovasc Thorac Ann2006;14(1):26\u20139."},{"issue":"4","key":"i0730-2347-41-2-195-b6","series-title":"Eur J Cardiothoracic Surg","first-page":"780","article-title":"Risk factors for posterior ventricular rupture after mitral valve replacement: results of 2560 patients","volume":"34","year":"2008","unstructured":"Deniz\n              H\n            , SokulluO, SaniogluS, SarginM, OzayB, AyogluU, et al. Risk factors for posterior ventricular rupture after mitral valve replacement: results of 2560 patients. Eur J Cardiothoracic Surg2008;34(4):780\u20134."},{"issue":"5","key":"i0730-2347-41-2-195-b7","series-title":"Ann Thorac Surg","first-page":"590","article-title":"Rupture of left ventricle following mitral valve replacement","volume":"46","year":"1988","unstructured":"Karlson\n              KJ\n            , AshrafMM, BergerRL.\n          Rupture of left ventricle following mitral valve replacement. Ann Thorac Surg1988; 46(5):590\u20137."},{"key":"i0730-2347-41-2-195-b8","series-title":"Clin Med Cardiol","first-page":"101","article-title":"Left ventricular rupture post mitral valve replacement","volume":"3","year":"2009","unstructured":"Sersar\n              SI\n            , JamjoomAA.\n          Left ventricular rupture post mitral valve replacement. Clin Med Cardiol2009;3:101\u201313."},{"issue":"4","key":"i0730-2347-41-2-195-b9","series-title":"Br Heart J","first-page":"366","article-title":"Rupture of left ventricle after mitral valve repair: case report and new technique of repair","volume":"69","year":"1993","unstructured":"Izzat\n              MB\n            , SmithGH.\n          Rupture of left ventricle after mitral valve repair: case report and new technique of repair. Br Heart J1993;69(4):366\u20137."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/41\/2\/article-p195.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/41\/2\/195\/2549191\/thij-12-2931.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/41\/2\/article-p195.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/41\/2\/article-p195.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:29:11Z","timestamp":1730993351000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/41\/2\/article-p195.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":9,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.14503\/thij-12-2931","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4]]}}}