Work

Successful management of left ventricular high lateral wall rupture during bentall procedure: a case report

Year: 2026

Type: article

Abstract: Left ventricular rupture is a highly fatal complication, with reported in-hospital mortality rates as high as 80%, largely due to the challenge of achieving timely surgical intervention. We present the case of a 59-year-old female who underwent a Bentall procedure for moderate-to-severe aortic regurgitation with concomitant aortic sinus and ascending aortic dilation. Shortly after weaning from cardiopulmonary bypass, a sudden rupture of the high lateral left ventricular wall occurred. Successful management involved a combined intracardiac and extracardiac repair: the external tear was first exposed, followed by exploration to identify and suture the corresponding internal defect. Over a 4-year postoperative follow-up, the patient maintained good cardiac function with no cardiac-related mortality. This case highlights the critical therapeutic significance of combined intracardiac and extracardiac repair for left ventricular rupture and underscores key technical lessons for managing this catastrophic event.

Source: Frontiers in Cardiovascular Medicine

DOI: 10.3389/fcvm.2026.1759056

Authors: Ke Xu, Lailong Sun, Yi Li, Songlin Zhang

Institutions: China Three Gorges University, Yichang Central People's Hospital

Language: English

Topic: Cardiac Structural Anomalies and Repair

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801