Document Detail

Cardiac pseudoaneurysm coupled with a rupture of the papillary muscle complicating myocardial infarction.
MedLine Citation:
PMID:  12542123     Owner:  NLM     Status:  MEDLINE    
As a complication of myocardial infarction, dual rupture of the left ventricular myocardium and the papillary muscle is a rare condition. In such a case, the heart is predisposed to reduced output because of unloading of the ventricle during systole, resulting in the patient being in danger of deteriorating into a severe state or dying suddenly from cardiogenic shock. We report a rescued case of a 65-year-old woman, who had cardiogenic shock due to left ventricular pseudoaneurysm, coupled with partial rupture of the posteromedial papillary muscle three weeks after posterior myocardial infarction. Emergent left ventriculography revealed a large aneurysmal cavity and regurgitation towards the left atrium. The patient underwent emergent aneurysmectomy with mitral valve replacement.
Tomohiro Harada; Takao Ida; Teruo Takano
Related Documents :
7019453 - Successful management of heart rupture from blunt trauma.
19438693 - Subepicardial aneurysm: echocardiographic evaluation and evolution.
8794823 - Cardiac and vascular effects of long-term losartan treatment in stroke-prone spontaneou...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  57     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-01-24     Completed Date:  2003-04-25     Revised Date:  2009-06-11    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  435-7     Citation Subset:  IM    
Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aneurysm, False / complications*,  diagnosis,  surgery
Blood Gas Analysis
Cardiac Surgical Procedures / methods
Coronary Angiography
Follow-Up Studies
Heart Aneurysm / complications*,  diagnosis,  surgery
Heart Rupture, Post-Infarction / complications*,  diagnosis,  surgery
Heart Valve Prosthesis
Mitral Valve Insufficiency / complications*,  diagnosis,  surgery
Myocardial Infarction / complications*,  diagnosis
Papillary Muscles / physiopathology
Risk Assessment
Shock, Cardiogenic / diagnosis,  etiology*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Interhospital transport of haemodynamically unstable patients using intra-aortic balloon pumping.
Next Document:  Acute myocardial infarction secondary to thyrotoxicosis.