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Suture Failure Causing Paravalvular Leak 20 Years after Mitral Valve Replacement

Cardiothoracic Surgery Department, Wythenshawe Hospital, Manchester M23 9LT, United Kingdom

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Every surgeon has encountered problems with a ruptured suture while pulling or knotting, but late fracture of the sutures is an uncommon cause of complications in surgical practice. In the literature, these rare events have presented with varied complications such as false aneurysm in vascular surgery and failure of anchorage in orthopedic surgery.

In his medium term follow-up (eight years) of 435 patients who had primary mitral valve replacement; Dhasmana et al found only . . . [Full Text of this Article]