Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair.

Abstract

A 26-year-old Japanese woman experienced threatened cardiac rupture after mitral valve replacement and debridement of a left ventricular (LV) posterior wall abscess caused by infectious endocarditis. We performed cardiac autotransplantation using the bicaval technique to allow bench repair of the recurrent abscess. A balloon catheter was inflated in the inferior vena cava to obtain a bloodless anastomotic field. This is the first report of autotransplantation for threatened LV rupture after posterior wall repair.

• Authors: Hiroaki Hata, Motomi Shiono, Mitsuru Iida, Akira Sezai, Shunji Osaka, Masashi Tanaka
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 103 Issue 2 Pg. e163-e165 (Feb 2017) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 28109380 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Adult
• Cardiac Catheterization (methods)
• Cardiac Surgical Procedures (methods)
• Endocarditis, Bacterial (complications, diagnostic imaging)
• Female
• Follow-Up Studies
• Heart Rupture (etiology, prevention & control)
• Heart Valve Prosthesis Implantation (adverse effects, methods)
• Heart Ventricles (diagnostic imaging, surgery)
• Humans
• Mitral Valve (physiopathology, surgery)
• Mitral Valve Insufficiency (diagnostic imaging, etiology, surgery)
• Risk Assessment
• Transplantation, Autologous (methods)
• Treatment Outcome