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Ventricular free wall rupture: ten year survival after surgical repair.

Leff RA, Hoffman I - Open Cardiovasc Med J (2008)

Bottom Line: Ventricular free wall rupture is a devastating complication of acute myocardial infarction.It occurs in 15-25% of fatal cases.We believe this to be the longest survival thus far reported in the literature.

View Article: PubMed Central - PubMed

Affiliation: Lovelace Medical Center, Division of Cardiology, 5400 Gibson Blvd, SE, Albuquerque, NM 87108, USA.

ABSTRACT
Ventricular free wall rupture is a devastating complication of acute myocardial infarction. It occurs in 15-25% of fatal cases. However, the overall incidence in acute MI cases is about 2%. [1] Clinical markers suggesting free wall rupture include pulseless electrical activity in a first MI, and pericardial tamponade. Subacute rupture takes hours or days to develop, and is suggested clinically by pericardial pain, transient hypotension, nausea, restlessness and agitation. [2, 3] When the diagnosis is established by pericardiocentesis or echocardiography, surgical patch repairs are possible, using standard or even sutureless technique. [4] The long term course of survivors of free wall rupture repair has not been extensively reported. There are scattered reports in the literature of survival up to eight years. [5, 3] We report herein a case of a status freewall rupture from an inferior-posterior wall myocardial infarction with survival of ten years after surgical repair. We believe this to be the longest survival thus far reported in the literature.

No MeSH data available.


Related in: MedlinePlus

Transthoracic echocardiogram done 10 years after patch repair of the subacute ventricular rupture (arrow).
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Figure 3: Transthoracic echocardiogram done 10 years after patch repair of the subacute ventricular rupture (arrow).

Mentions: 23


Ventricular free wall rupture: ten year survival after surgical repair.

Leff RA, Hoffman I - Open Cardiovasc Med J (2008)

Transthoracic echocardiogram done 10 years after patch repair of the subacute ventricular rupture (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2570576&req=5

Figure 3: Transthoracic echocardiogram done 10 years after patch repair of the subacute ventricular rupture (arrow).
Mentions: 23

Bottom Line: Ventricular free wall rupture is a devastating complication of acute myocardial infarction.It occurs in 15-25% of fatal cases.We believe this to be the longest survival thus far reported in the literature.

View Article: PubMed Central - PubMed

Affiliation: Lovelace Medical Center, Division of Cardiology, 5400 Gibson Blvd, SE, Albuquerque, NM 87108, USA.

ABSTRACT
Ventricular free wall rupture is a devastating complication of acute myocardial infarction. It occurs in 15-25% of fatal cases. However, the overall incidence in acute MI cases is about 2%. [1] Clinical markers suggesting free wall rupture include pulseless electrical activity in a first MI, and pericardial tamponade. Subacute rupture takes hours or days to develop, and is suggested clinically by pericardial pain, transient hypotension, nausea, restlessness and agitation. [2, 3] When the diagnosis is established by pericardiocentesis or echocardiography, surgical patch repairs are possible, using standard or even sutureless technique. [4] The long term course of survivors of free wall rupture repair has not been extensively reported. There are scattered reports in the literature of survival up to eight years. [5, 3] We report herein a case of a status freewall rupture from an inferior-posterior wall myocardial infarction with survival of ten years after surgical repair. We believe this to be the longest survival thus far reported in the literature.

No MeSH data available.


Related in: MedlinePlus