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Case Report

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

Chandana NC, Aju James Ashok, B Girish, Ashwini Kumar Pasarad, Anand Subraya Bhat

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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

How Cite This Article:

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

Timeline

Received : May 19, 2022         Accepted : June 22, 2022          Published : September 30, 2022

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 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 successful management of rupture of the posterior atrioventricular groove caused iatrogenically while performing aortic valve replacement.


References

  • 1.   Nishimura R, Otto C, Bonow R, Carabello B, Erwin J, Guyton R et al. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease. Circulation. 2014;129(23).
  • 2.   Dobrilovic N, Raman J, Fingleton JG, Maslow A, Singh AK. Long-Term Outcomes of External Repair as a Rescue Operation for Atrioventricular Groove Disruption. Ann ThoracSurg 2017; 103:491-6.
  • 3.   Treasure R, Rainer W, Strevey T, Sadler T. Intraoperative Left Ventricular Rupture Associated with Mitral Valve Replacement. Chest 1974; 66(5):511-514.
  • 4.   Miller D, Johnson D, Ivey T. Does Preservation of the Posterior Chordae Tendineae Enhance Survival during Mitral Valve Replacement?. The Annals of Thoracic Surgery. 1979;28(1):22-27.
  • 5.   Bhamidipati CM, Coselli JS, LeMaire SA. BioGlue in 2011: what is its role in cardiac surgery? J Extra Corpor Technol. 2012;44(1):6-12.
  • 6.   Pasarad AK, Gopivallabha MM, Singh AK, Sadanand KK. Left Ventricular Dissecting Hematoma Caused by Tissue Stabiliser. Braz J Cardiovasc Surg. 2020; 35(3):396-398.
  • 7.   Demirtaş M, Cimen S, Ketenci B, Günay R, Akçar M, Özler A et al. Late Follow-Up of Cyanoacrylate Usage in Cardiothoracic Surgery. Asian Cardiovascular and Thoracic Annals. 1999; 7(3):195-199.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

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


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
May 19, 2022 June 22, 2022 September 30, 2022

DOI: https://doi.org/10.21088/jcms.2454.7123.8322.3

Keywords

Aortic valve replacementAtrioventricular Groove bleedCyanoacrylate glue

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Timeline


Received May 19, 2022
Accepted June 22, 2022
Published September 30, 2022

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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