Rupture of the right ventricular free wall. An unusual complication of XXXX after cardiac surgery.

@entity1 @entity82 @entity548 @entity1764 @entity4615 @entity397 @entity1188
Of 2171 @entity1 who underwent open heart surgery between 1981 and 1986, 41 (1.8%) developed postoperative @entity1764 and were treated by closed irrigation drainage or open chest therapy. Six @entity1 , (mean age 59 years) developed @entity397 of the right ventricular free wall. The primary procedures were: resection of @entity82 (2), mitral valve replacement (1), coronary bypass grafting (1), removal of a left @entity4615 (1) and repair of post- @entity1188 @entity397 of the left ventricle (1). In 2 @entity1 , @entity397 occurred in the operating theatre during revision of the irrigation drainage. Both @entity1 died after repair. In 4 @entity1 , @entity397 occurred during coughing. One died before surgery. In the 3 other cases, the defects were repaired either by direct suture (2 @entity1 ) or with a pericardial patch (1 @entity1 ) with the aid of normothermic extracorporeal circulation. Three days later, a muscular flap (pectoral or dorso-lumbar) was mobilized to protect the mediastinal viscera. All 3 @entity1 are alive and well. When @entity548 occurs during treatment of @entity1764 , an immediate exploration with extracorporeal circulation to close the defect should be considered.
