We present a case of left ventricular (LV) rupture that occurred on the second day after inferolateral myocardial infarction (MI). An aggressive diagnostic approach with rapid coronary angiography prior to surgical repair provides a benefit characterized postoperatively by complete recovery of myocardial contractility in the akinetic infarcted area. We believe that coronary artery disease associated with subacute ventricular rupture may, in fact, be better investigated and simultaneously treated under a protocol of early surgical repair.

Download full-text PDF

Source
http://dx.doi.org/10.1111/j.1540-8191.1997.tb00134.xDOI Listing

Publication Analysis

Top Keywords

ventricular rupture
12
left ventricular
8
surgical repair
8
successful management
4
management postinfarction
4
postinfarction left
4
rupture sutureless
4
sutureless technique
4
technique concomitant
4
concomitant myocardial
4

Similar Publications

Background: Post-infarct ventricular septal rupture (PI-VSR) is a rare complication of acute myocardial infarction (AMI) but has very serious implications. Managing PI-VSR using transcatheter closure (TCC) presents varying challenges depending on the patient's condition. The aim of this study is to present a highly challenging case of multiple VSRs as a complication of AMI.

View Article and Find Full Text PDF

Background: This research aimed to investigate the clinical features exhibited by individuals diagnosed with acute myocardial infarction (AMI) complicated by ventricular septal rupture (VSR) and to compare the prognostic outcomes of different treatment modalities.

Methods: A retrospective study on a cohort of 200 patients who were diagnosed with AMI complicated by VSR at a specialized medical facility from 2018 to 2023 was conducted. The patients were categorized into 3 different treatment groups: group A received medical management, group B underwent surgical repair, and group C underwent percutaneous device closure.

View Article and Find Full Text PDF
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.
View Article and Find Full Text PDF

Background: Granulomatosis with polyangiitis (GPA) is an autoimmune multisystem disorder characterized by small vessel vasculitis with granulomatous inflammation. In this report, we describe a unique case of GPA who presented with complete heart block (CHB) and developed complications due to intracranial large vessel involvement.

Case Summary: A 47-year-old gentleman presented with CHB with a background history of arthralgia and blood-tinged nasal discharge.

View Article and Find Full Text PDF

Background: Veno-arterial (V-A) extracorporeal membrane oxygenation (ECMO) is commonly used for patients with cardiac arrest, cardiogenic shock, or heart failure and is a life-saving technique. Computed tomography angiography (CTA) examination in patients on ECMO presents certain challenges. Due to the dual circulation characteristics of blood flow in ECMO patients, vascular imaging and interpretation can be difficult and may even present pitfalls.

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!