Mechanical left ventricular unloading to prevent recurrent myocardial rupture Stephen Westaby, MS, PhD, Vipin Mehta, MD, Fidelma Flynn, MD, Neil Wilson,

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Mechanical left ventricular unloading to prevent recurrent myocardial rupture Stephen Westaby, MS, PhD, Vipin Mehta, MD, Fidelma Flynn, MD, Neil Wilson, MD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 1, Pages e16-e17 (July 2010) DOI: 10.1016/j.jtcvs.2009.07.009 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Transthoracic echocardiographic apical 2-chamber view focusing on the left atrium. There is a large vegetation (Veg) attached to the mitral valve (MV) leaflets and extending into the left atrium (LA). There is also extensive vegetation on the posterior left atrial wall and posterior leaflet of the mitral valve. RA, Right atrium; RV, right ventricle; LV, left ventricle. B, Two-chamber left ventricular and left atrial transesophageal echocardiogram view (75°). An aneurysm in the left ventricle (LV) resulting in left ventricular rupture is shown. The repair of the posterior leaflet of the mitral valve with bovine pericardium is also shown (MVR). The anterior and posterior segments of the mitral valve seen are indicated (P3, A2, and P2). IVS, Interventricular septum; An, mycotic aneurysm. Scale bar = 1cm. The Journal of Thoracic and Cardiovascular Surgery 2010 140, e16-e17DOI: (10.1016/j.jtcvs.2009.07.009) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions