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Coping With the Crash: Intraoperative Management of Ventricular Wall Rupture During Coronary Artery Bypass Graft Surgery. | LitMetric

AI Article Synopsis

  • Left ventricular (LV) free wall rupture is a serious and often deadly outcome of a heart attack, specifically after an acute myocardial infarction.
  • A case is presented involving an elderly woman who experienced this rupture following anesthesia induction for a heart surgery, having suffered a heart attack just days earlier.
  • The case underscores the importance of recognizing symptoms and managing severe low blood pressure during surgery, while also discussing the uncommon ways this rupture can manifest and how to effectively treat it.

Article Abstract

Left ventricular (LV) free wall rupture is a rare and often fatal complication of an acute myocardial infarction. We report the case of an LV free wall rupture after the induction of general anesthesia in an elderly woman who presented for a coronary artery bypass graft (CABG) procedure in the setting of an inferior wall ST elevation myocardial infarction (STEMI) four days prior. This case emphasizes both the differential diagnosis for and the management of refractory hypotension. Additionally, it highlights an unusual intraoperative presentation of LV free wall rupture and the ideal circumstances for treating it.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695435PMC
http://dx.doi.org/10.7759/cureus.75060DOI Listing

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