{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:00:33Z","timestamp":1771930833373,"version":"3.50.1"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002861","name":"China Three Gorges University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002861","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>Left ventricular rupture is a highly fatal complication, with reported in-hospital mortality rates as high as 80%, largely due to the challenge of achieving timely surgical intervention. We present the case of a 59-year-old female who underwent a Bentall procedure for moderate-to-severe aortic regurgitation with concomitant aortic sinus and ascending aortic dilation. Shortly after weaning from cardiopulmonary bypass, a sudden rupture of the high lateral left ventricular wall occurred. Successful management involved a combined intracardiac and extracardiac repair: the external tear was first exposed, followed by exploration to identify and suture the corresponding internal defect. Over a 4-year postoperative follow-up, the patient maintained good cardiac function with no cardiac-related mortality. This case highlights the critical therapeutic significance of combined intracardiac and extracardiac repair for left ventricular rupture and underscores key technical lessons for managing this catastrophic event.<\/jats:p>","DOI":"10.3389\/fcvm.2026.1759056","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T07:41:24Z","timestamp":1770622884000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful management of left ventricular high lateral wall rupture during bentall procedure: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Ke","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, First Clinical Medical College of China Three Gorges University & Yichang Central People\u2019s Hospital","place":["Yichang, Hubei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lailong","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, First Clinical Medical College of China Three Gorges University & Yichang Central People\u2019s Hospital","place":["Yichang, Hubei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, First Clinical Medical College of China Three Gorges University & Yichang Central People\u2019s Hospital","place":["Yichang, Hubei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Songlin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, First Clinical Medical College of China Three Gorges University & Yichang Central People\u2019s Hospital","place":["Yichang, Hubei, 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