Repair of intervalvular fibrous body rupture during aortic valve replacement
Author Department
Surgery
Document Type
Article, Peer-reviewed
Publication Date
7-1-2011
Abstract
The intervalvular fibrosa, the structure that connects the mitral and the aortic valves, can be injured during aortic valve replacement. Although this complication is rare, it may require complex and extensive repair. Herein, we describe management of a damaged aortic-mitral curtain and fibrous body during tissue aortic valve replacement in a patient with mixed connective tissue disorder. A "U" suture repair combining an external and internal reinforcement repair technique via the aorta, without explanting the prosthetic valve technique, is described. The purpose of using the "externalized" buttressed U-stitch was to obliterate any residual cavity and to assure control of hemorrhage externally. Repair of damaged fibrous body during aortic valve replacement (AVR) is challenging. We managed this difficult situation in a satisfactory surgical approach without explanting the aortic prosthesis.  © 2011 Wiley Periodicals, Inc.
Recommended Citation
Alameddine AK, Alimov VK, Flack JE. Repair of intervalvular fibrous body rupture during aortic valve replacement J Card Surg 2011 Jul;26(4):372-4.