Chandana NC Associate Professor, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru 560069, Karnataka, India
Aju James Ashok Resident, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru 560069, Karnataka, India
B Girish Professor and Unit Chief, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru 560069, Karnataka, India
Ashwini Kumar Pasarad Associate Professor, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru 560069, Karnataka, India
Anand Subraya Bhat Assistant Professor, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru 560069, Karnataka, India
Address for correspondence: Chandana NC, Associate Professor, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru 560069, Karnataka, India E-mail: chandu219@gmail.com
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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.
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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.
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.
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.
Description: Operative photograph showing tear repaired with Teflon felt using 4-0 polypropylene sutures and cyanoacrylate applied topically to act as a sealant