Journal of Cardiovascular Medicine and Surgery

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.

Cardio-pulmonary resuscitation is a series of life-saving techniques, that improve the chances of survival and is used in many emergencies such as heart attack or near drowning, in which someone’s breathing or heartbeat has stopped. The American Heart Association recommends starting CPR with hard and fast chest compressions. The newest development in CPR guidelines is a change in the basic life support sequence of steps from A-B-C (Airway, Breathing, chest compressions) to C-A-B ( chest compressions, Airway, Breathing) for adults. Also, Hands-only (compression-only) CPR is emphasized for untrained rescuers

A multidisciplinary team has effectively adapted advanced reconstructive techniques merged with regenerative medicine modalities to improve outcomes. These treatments combine traditional reconstruction measures with regenerative medicine applications and have been termed ‘hybrid reconstructions’. The hybrid reconstruction model aids in maximizing the function while minimizing the disability and morbidity associated with traditional reconstruction.