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Presentation with pulsatile xiphisternal bruise-Survival with a chronic ventricular rupture.
MedLine Citation:
PMID:  20970378     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Ventricular free wall rupture is an acute, severe complication of myocardial infarction (MI). Accounting for 20-30% of MI mortality, ventricular rupture is fatal if not detected early and repaired surgically. The unique case of a delayed, chronic rupture is reported in a 64 year-old male who presented with a painless, pulsatile, sub-xiphisternal bruise, five years post MI. Trans-thoracic echocardiography (TTE) revealed haematoma extending posteriorly with only contrast echocardiography revealing an active communication between the sub-dermal area and the heart. Urgent surgery and a prolonged period in ICU enabled sufficient enough recovery for discharge.
Authors:
Nigel Pinto; David Platts; Bruce Thomson; John Fraser
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Publication Detail:
Type:  Journal Article     Date:  2010-10-20
Journal Detail:
Title:  Heart, lung & circulation     Volume:  20     ISSN:  1444-2892     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  132-5     Citation Subset:  IM    
Copyright Information:
Crown Copyright © 2010. Published by Elsevier B.V. All rights reserved.
Affiliation:
Critical Care Research Group, Departments of Cardiology, Cardiac Surgery and Adult Intensive Care, The Prince Charles Hospital, 106 Dunellan Street, Greenslopes, Brisbane, Queensland, Australia.
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