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Surgical Outcome of Postinfarction Left Ventricular Free Wall Rupture.

Tex Heart Inst J

January 2024

Department of Thoracic and Cardiovascular Surgery, Hallym University Dongtan Sacred Heart Hospital, Gyeonggi-do, South Korea.

Background: Left ventricular free wall rupture (LVFWR) is a rare and fatal complication after acute myocardial infarction. Early recognition and aggressive treatment are recommended.

Methods: Between August 1999 and February 2023, 11 patients aged between 64 and 79 years developed LVFWR after acute myocardial infarction (mean interval, 3.

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Article Synopsis
  • - Left ventricular free-wall rupture (LVFWR) is a serious complication following acute myocardial infarction (AMI), with surgery being the typical treatment, though limited data exists on its effectiveness and safety over time.
  • - The study analyzed 35 patients who underwent surgical repair for LVFWR from 1990 to 2019, revealing an in-hospital mortality rate of 28.6% and identifying age over 75, preoperative cardiac arrest, and concurrent ventricular septal rupture as key risk factors for early death.
  • - Follow-up showed that among survivors, long-term survival rates were promising, with 82.5% surviving at 3 years and 55.2% at 12 years, suggesting that while the
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Blow-out type left ventricular free wall rupture is a serious complication of acute myocardial infarction, that carries high hospital mortality rates and poor surgical outcome. We report the case of an 88-year-old woman who developed cardiac tamponade following percutaneous coronary angioplasty for acute myocardial infarction. She was diagnosed with left ventricular free wall rupture, and rupture type was proved to be blow out after median sternotomy.

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Article Synopsis
  • Left ventricular free wall rupture is a severe complication of heart attacks that can lead to cardiac tamponade, which is life-threatening.
  • ECMO is often used to manage heart instability, but increased pressure can cause problems with blood flow and brain perfusion.
  • A case study of a 65-year-old man highlights how combining ECMO with pericardial drainage helped stabilize his condition temporarily, though he ultimately faced a poor neurological outcome and passed away.
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Blow-out left ventricular free wall rapture.

Eur Heart J Case Rep

December 2022

Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.

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