Subacute Rupture of the Free Left Ventricular Wall Following Acute Myocardial Infarction Successful Surgery in a Case

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Çengel A., Metin M., Yener A., Dortlemez Ö., Dortlemez H.

Japanese Heart Journal, vol.31, no.5, pp.745-748, 1990 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 5
  • Publication Date: 1990
  • Doi Number: 10.1536/ihj.31.745
  • Journal Name: Japanese Heart Journal
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.745-748
  • Keywords: Acute myocardial infarction, Left ventricular rupture
  • Ankara University Affiliated: No

Abstract

Free left ventricular wall rupture following acute myocardial infarction usually results in cardiac tamponade and sudden death. Occasionally, the bleeding into the pericardial sac is arrested by the surrounding pericardial tissue causing formation of a pseudoaneurysm. The case herein reported presented with a refractory pericardial effusion 1 month after an anterior myocardial infarction. While echocardiography failed to reveal a pseudoaneurysm or to localize a rupture, cineventriculography disclosed the diagnosis of a minimal rupture of the left ventricular free wall. The patient was successfully treated by surgery. © 1990, International Heart Journal Association. All rights reserved.