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Fibrin Sealant for Left Ventricular Rupture after Mitral Valve Replacement

Department of Cardiac Surgery, Hospital of Chest and Cardiovascular Disease, Number 34, Mexican Institute of Social Security, Monterrey, Mexico

For reprint information contact: Ovidio A Garcia-Villarreal, MD, Tel: 52 81 8377 4610, email: ovidio{at}voila.fr, Vista Florida 460, Col. Linda Vista, 67130, Guadalupe, Nuevo León, Mexico.

Despite safer surgical procedures, left ventricular rupture remains a rare but potentially lethal complication of mitral valve replacement. The use of fibrin sealant has substantially improved the outcome of many difficult bleeding episodes after cardiac surgery. We describe a case of left ventricular rupture successfully treated with fibrin sealant combined with external Teflon-pledgeted sutures.