A Treatise on the Surgical Management and a Suggested Amendment of Surgical Classification of Left Ventricular Rupture Following Mitral Valve Replacement

Gudala and associates performed a literature review of 108 patients who sustained left ventricular rupture following mitral valve replacement. The incidence in pooled data was 0.72%. The authors expounded on the mechanisms, classification, repair techniques, and treatment outcomes of this dreadful complication. In addtion, they added a subcategory, type IV, and proposed an alternative surgical classification. This is a thorough and comprehensive review that would be helpful to all cardiac surgeons.