Advent of Severe Mitral Regurgitation in Surgical Ventricular Restoration and Ventricular Septal Rupture Repair

Case Report

Volume 3, Issue 1

Advent of Severe Mitral Regurgitation in Surgical Ventricular Restoration and Ventricular Septal Rupture Repair

Yihua Liu¹, Laura Filippetti², Pan Dan¹, Elodie Phamisith¹, Valério Sanesi¹, Damien Mandry³, Giuseppe LAURIA¹ and Juan Pablo Maureira^1*

¹Department of Cardiovascular Surgery and Heart Transplantation, University Hospital of Nancy, University of Lorraine, Vandoeuvre-les-Nancy, France

²Department of Cardiology, University Hospital of Nancy, University of Lorraine, Vandoeuvre-les-Nancy, France

³Department of Radiology, University Hospital of Nancy, University of Lorraine, Vandoeuvre-les-Nancy, France

^*Corresponding author: Pablo Maureira, Centre Hospitalier Universitaire of Nancy, University of Lorraine, 54500, Vandoeuvre-les-Nancy, France.

Received: December 23, 2022; Accepted: January 06, 2023; Published: February 15, 2023

Citation: Liu Y, Filippetti L, Maureira JP, et al. Advent of Severe Mitral Regurgitation in Surgical Ventricular Restoration and Ventricular Septal Rupture Repair. Case Rep Clin Cardiol J. 2023; 3(1): 122.

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Advent of Severe Mitral Regurgitation in Surgical Ventricular Restoration and Ventricular Septal Rupture Repair

Abstract

Per-procedural severe mitral regurgitation was uncovered in a patient with low left ventricular ejection fraction who underwent combined surgical ventricular restoration and postinfarction ventricular septal rupture repair. Did the regurgitation exist previously and dissimulate by significant left-to-right shunt, or it occurred secondarily to the Dor procedure? Which was the better management strategy, chordal-sparing mitral valve replacement or mitral plasty? Our case brought out an open discussion on the etiology and therapeutic strategies of this complicated condition.

Keywords: Mitral regurgitation; Postinfarction ventricular septal rupture; Surgical ventricular restoration

Article Details

Advent of Severe Mitral Regurgitation in Surgical Ventricular Restoration and Ventricular Septal Rupture Repair