Di Gregorio O, Nardi C, Milano A, De Carlo M, Grana M, Bortolotti U
Cardiac and Thoracic Department, University of Pisa Medical School, Italy.
Ann Thorac Surg. 2001 May;71(5):1670-2. doi: 10.1016/s0003-4975(00)02354-7.
We report a patient who presented with paraprosthetic leak complicated by dissection of the interatrial septum after mitral valve replacement. A review of the literature provides confirmation that only 3 cases have been previously reported of this potential, albeit extremely rare, complication of prosthetic mitral valve replacement. Prosthesis oversizing and improper mitral annular handling appeared to be the predisposing factors of this complication.