Left ventricular free wall rupture (LVFWR) is a rare but serious complication following ST-elevation myocardial infarction (MI), occurring in a small fraction of patients. Left Ventricular Free Wall Rupture presents as three types: There are three types of Left Ventricular Free Wall Rupture: Type 1 with an abrupt tear and high mortality, Type 2 with a slower tear, and Type 3 with aneurysm perforation. Despite reperfusion therapies, LVFWR remains concerning due to increased mortality described from 75% to 90%. We present a case of LVFWR in a 64-year-old with a history of previous aortic valve surgery and heart failure, managed through left thoracotomy surgical repair. Our approach led to successful repair, emphasizing collaborative intraoperative strategies for improved outcomes in LVFWR cases.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11570907PMC
http://dx.doi.org/10.7759/cureus.71833DOI Listing

Publication Analysis

Top Keywords

left ventricular
12
ventricular free
12
free wall
12
wall rupture
12
left thoracotomy
8
three types
8
left
6
thoracotomy alternative
4
alternative redo
4
redo sternotomy
4

Similar Publications

Novel Therapies for Right Ventricular Failure.

Curr Cardiol Rep

January 2025

Pediatric Advanced Heart Failure and Heart Transplant Program, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS, USA.

Purpose Of Review: Traditionally viewed as a passive player in circulation, the right ventricle (RV) has become a pivotal force in hemodynamics. RV failure (RVF) is a recognized complication of primary cardiac and pulmonary vascular disorders and is associated with a poor prognosis. Unlike treatments for left ventricular failure (LVF), strategies such as adrenoceptor signaling inhibition and renin-angiotensin system modulation have shown limited success in RVF.

View Article and Find Full Text PDF

Restenosis occurs commonly after aortic coarctation (CoA) repair, usually requiring treatment by balloon dilation. Its effect on physical exercise performance is not documented. A retrospective analysis of exercise testing and echocardiographic assessment was performed in children after CoA repair.

View Article and Find Full Text PDF

The acute response to therapeutic afterload reduction differs between heart failure with preserved (HFpEF) versus reduced ejection fraction (HFrEF), with larger left ventricular (LV) stroke work augmentation in HFrEF compared to HFpEF. This may (partially) explain the neutral effect of HFrEF-medication in HFpEF. It is unclear whether such differences in hemodynamic response persist and/or differentially trigger reverse remodeling in case of long-term afterload reduction.

View Article and Find Full Text PDF

The maximal oxygen uptake (V̇O) is typically higher in endurance-trained adolescents than in non-endurance-trained peers. However, the specific mechanisms contributing to this remain unclear, as well as the impact of training during this developmental stage. This study aims to compare V̇O and cardiovascular functions between 12-year-old endurance athletes and non-endurance-trained over a 14-month period.

View Article and Find Full Text PDF

Background: Low-volume hypertonic solutions, such as half-molar lactate (LAC), may be a potential treatment used for fluid resuscitation. This study aimed to evaluate the underlying cardiovascular effects and mechanisms of LAC infusion compared to sodium-matched hypertonic sodium chloride (SAL).

Methods: Eight healthy male participants were randomized in a controlled, single-blinded, crossover study.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!