Author/Authors :
Durukan، Ahmet Baris نويسنده Medicana International Ankara Hospital, Department Of Cardiovascular Surgery, Ankara, Turkey. , , Serter، Fatih Tanzer نويسنده Medicana International Ankara Hospital, Ankara, Turkey. , , Gurbuz، Hasan Alper نويسنده Medicana International Ankara Hospital, Ankara, Turkey. , , Tavlasoglu، Murat نويسنده Diyarbakir Military Hospital, Diyarbakir, Turkey. , , Ucar، Halil Ibrahim نويسنده Medicana International Ankara Hospital, Ankara, Turkey. , , Yorgancioglu، Cem نويسنده Medicana International Ankara Hospital, Department Of Cardiovascular Surgery, Ankara, Turkey. ,
Abstract :
Atrioventricular groove rupture is a rare, albeit mortal, complication following mitral valve surgery. Avoidance is the best strategy but it cannot fully prevent the occurrence of this complication. Several repair techniques have been described with varying success rates; however, the rarity of the complication precludes consensus about the safest technique.
Here we report two cases of posterior atrioventricular groove rupture. Both cases were diagnosed immediately after the cessation of cardiopulmonary bypass. Repair was performed successfully with a technique involving the use of biological glue. The postoperative course was uneventful for both of them. Both cases are well with normally functioning mitral prostheses; one with a follow-up time of 5.5 years and the other 10 months. We believe that the glue provides additional hemostasis and support to the repaired area.