Repair of left ventricular rupture following mitral valve replacement concomitant with left atrial reduction procedure - Intracardiac patch and extracardiac buttress suture

Rupture of the posterior wall of the left ventricle after mitral valve repl acement is a dire complication associated with a very high mortality. This study reports a successful repair of type 1 left ventricular rupture, which occurred after mitral valve replacement concomitant with a left atrial red uction procedure, by combination of an intracardiac patch and an extracardi ac buttress suture. In a case such as this, in which hemostasis is quite di fficult to establish, this combination technique is particularly effective.