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Case Report

Rupture of Atrioventricular Groove During RSPV Venting in a Case of Aortic Valve Replacement

Chandana NC, Associate Professor, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru 560069, Karnataka, India , Aju James Ashok , B Girish , Ashwini Kumar Pasarad , Chandana NC , Anand Subraya Bhat ,

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Journal of Cardiovascular Medicine and Surgery 8(3):p 93-95, July-September 2022. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.8322.3

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Aju James Ashok, B Girish, Ashwini Kumar Pasarad, et. al./Rupture of Atrioventricular groove during RSVP Venting in a
Case of Aortic Valve Replacement/J Cardiovasc Med Surg.2022;8(3): 93-95

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Abstract

Aortic valve replacement is a commonly performed surgery for severe Aortic stenosis. Atrioventricular groove (AVG) hematomas range from simple hematomas to complex AVG disruptions that cause a frank rupture with massive bleeding and subsequent mortality. AVG hematoma and disruption is a rare and dreaded complication encountered in less than 2% of patients undergoing mitral valve replacement (MVR). When it occurs, it necessitates going back on cardiopulmonary bypass, explanting the valve, pericardial patch reconstruction of the AV groove, and then prosthesis reimplantation. Mortality sharply rises if this injury goes unrecognized before sternal closure. We describe the successful management of rupture of the posterior atrioventricular groove caused iatrogenically while performing aortic valve replacement.

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Aju James Ashok, B Girish, Ashwini Kumar Pasarad, et. al./Rupture of Atrioventricular groove during RSVP Venting in a
Case of Aortic Valve Replacement/J Cardiovasc Med Surg.2022;8(3): 93-95

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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.8322.3

Keywords

Aortic valve replacement; Atrioventricular Groove bleed; Cyanoacrylate glue.

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