Document Detail

Incomplete myocardial rupture after coronary embolism of an isolated single coronary artery.
MedLine Citation:
PMID:  15664557     Owner:  NLM     Status:  MEDLINE    
An 82-year-old female was admitted to the coronary care unit with an anterior wall myocardial infarction and cardiogenic shock. She was in chronic atrial fibrillation without oral anticoagulation. Coronary angiography showed occlusion of the left main coronary artery which originated together with a normal right coronary artery from the right sinus of Valsalva. The advanced age, the presence of chronic atrial fibrillation not anticoagulated and the normal appearance of the remaining coronary arteries suggested a thromboembolic origin. Transthoracic echocardiography showed an abrupt interruption of the myocardial wall, in the apical portion of the interventricular septum, not communicating with the pericardial sac or right ventricular cavity suggesting the presence of an incomplete contained rupture of the myocardial wall at this location. She died in cardiogenic shock due to the extensive left ventricular damage.
Javier Pindado; Pedro Marcos-Alberca; Manuel Rey; Rosa Rábago; Carlos de Diego; Borja Ibáñez; Manuel Córdoba; Jerónimo Farré
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  6     ISSN:  1525-2167     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-24     Completed Date:  2005-06-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  72-4     Citation Subset:  IM    
Servicio de Cardiología, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.
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MeSH Terms
Aged, 80 and over
Atrial Fibrillation / complications
Coronary Angiography
Coronary Disease / complications*,  ultrasonography
Embolism / complications*,  radiography
Fatal Outcome
Heart Rupture, Post-Infarction / etiology*,  ultrasonography
Myocardial Infarction / complications*,  ultrasonography

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