Sersar S I, Bassiouni A M, Jamjoom A A
Division of Cardiothoracic Surgery, Department of Cardiovascular Diseases.
HSR Proc Intensive Care Cardiovasc Anesth. 2009;1(4):44-6.
We report the case of a 41 years old woman who presented with massive bleeding after redo mitral valve replacement. A Left ventricular rupture, different from the three known types of wall rupture was hardly identified and controlled with extreme difficulty. The patient died eight days postoperatively due to disseminated intravascular coagulopathy. Retrospective analysis of the Echocardiographic examination was highly suggestive of abnormal position of the previously implanted mitral valve bioprosthesis with left ventricular outflow tract obstruction and weakness of the posterior wall of the left ventricular outflow tract.
我们报告了一例41岁女性患者，该患者在再次进行二尖瓣置换术后出现大量出血。一种与已知三种类型的心室壁破裂不同的左心室破裂很难被识别，且极难控制。患者术后八天因弥散性血管内凝血而死亡。对超声心动图检查的回顾性分析强烈提示先前植入的二尖瓣生物假体位置异常，伴有左心室流出道梗阻和左心室流出道后壁薄弱。
