Nili M, Salomon J, Halevi A, Schuchman E, Levy M J
Scand J Thorac Cardiovasc Surg. 1981;15(3):235-8. doi: 10.3109/14017438109100579.
Rupture of the left ventricle following mitral valve replacement occurred in 2 women among 520 patients (0.4%) during a 17-year-period at the Beilinson Medical Centre. In one patient, a delayed, type II rupture, followed by immediate exanguination, resulted from a 31 mm cloth-covered Starr-Edwards prosthesis inserted in a normal sized left ventricle. In the second patient, an intra-operative type I rupture occurred as a result of an over-zealous resection of a heavily calcified valve and annulus. Repeated attempts at surgical repair were unsuccessful. A review of 46 previously reported cases revealed several other factors that might be responsible for this complication which carries a 40-100% mortality rte, depending on whether it is diagnosed intra-operatively or in the immediate postoperative period. These factors and the variety of surgical approaches used for the repair of this grave complication are discussed.
在贝林森医疗中心17年期间的520例患者中，有2名女性（0.4%）在二尖瓣置换术后发生左心室破裂。其中1例患者，在正常大小的左心室植入31毫米布覆盖的斯塔尔-爱德华兹人工瓣膜后，出现延迟性II型破裂，随后立即失血过多。在第2例患者中，由于过度热心地切除严重钙化的瓣膜和瓣环，术中发生I型破裂。多次手术修复尝试均未成功。对46例先前报道的病例进行回顾发现，还有其他几个因素可能导致这种并发症，其死亡率在40%至100%之间，具体取决于它是在术中还是术后立即被诊断出来。本文讨论了这些因素以及用于修复这种严重并发症的各种手术方法。
