Document Detail


Ischemic left ventricular free wall rupture: prediction, diagnosis, and treatment.
MedLine Citation:
PMID:  9386744     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Left ventricular free wall rupture is the third leading complication and the second most common cause of death after myocardial infarction. Its occurrence has been considered an unpredictable event usually leading to death. An increased appreciation for the clinical presentation of this syndrome and the nearly ubiquitous use of echocardiography have fostered a rise in the antemortem diagnosis of left ventricular free wall rupture, allowing the possibility of operative repair. Despite the increased reporting of left ventricular free wall rupture, the experience of any one surgeon or surgical group tends to be quite small. We review the current status of rupture prediction, clinical presentation, diagnosis, and treatment options. A recent case of left ventricular free wall rupture referred to the Baylor Cardiothoracic Surgery Group with the misdiagnosis of ruptured dissection of the ascending thoracic aorta is presented to illustrate our approach to this clinical situation.
Authors:
M J Reardon; C L Carr; A Diamond; G V Letsou; H J Safi; R Espada; J C Baldwin
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  64     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1997-12-23     Completed Date:  1997-12-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1509-13     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Baylor College of Medicine, Houston, Texas, USA. reardonm@bcm.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
Heart Rupture, Post-Infarction / diagnosis*,  therapy
Humans
Risk Factors

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


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