Document Detail


Self-limiting left ventricular wall rupture following myocardial infarction: a case report and literature review.
MedLine Citation:
PMID:  24783477     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
We report the case of a 62-year-old woman presenting with symptoms and findings of myocardial infarction and a left ventricular free wall rupture. Coronary angiography revealed a critical stenosis in the middle right coronary artery. A contrast left ventriculogram revealed extravasation of contrast through the inferolateral wall of the left ventricle. Left ventricular free wall rupture is a rare complication of acute myocardial infarction, occurring in approximately 2% of cases. It is often fatal because of the development of haemopericardium and tamponade. Some patients, like the one described in this case, may present with small leaks that might close spontaneously by epicardial fibrin deposits, thus self-limiting, without requiring surgical intervention. This patient received only intense medical treatment. Indeed, blood clots at the endocardial and the epicardial site of the rupture have often been identified, suggesting protection for further rupture.
Authors:
Hannes Vervaeke; Nathalie Becaus; Martin Penicka; Marc Vanderheyden
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  69     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-05-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  209-12     Citation Subset:  IM    
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