| Simultaneous papillary muscle avulsion and free wall rupture during acute myocardial infarction. Intra-aortic balloon pump: a bridge to survival. | |
| | |
MedLine Citation:
|
PMID: 16598115 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Mechanical complications of acute myocardial infarction (AMI) are rare, but often fatal. Medical therapy does not provide adequate risk reduction, and surgical correction is recommended when feasible. Supplemental hemodynamic support utilizing intra-aortic counterpulsation with a balloon pump provides an improvement in morbidity and mortality when combined with a corrective surgical approach. We report a case of an elderly male with a progressive 2-week history of ischemic symptoms presenting with acute pulmonary edema, hypotension and an inferior wall ST-elevation MI. His hospital course was complicated by ischemic mitral regurgitation (MR) and cardiogenic shock, which resulted in a papillary muscle rupture/avulsion from the inferolateral myocardial wall, and a communication for blood from ventricle to pericardial space. Initial management included mechanical ventilation, pharmacologic inotropic support, percutaneous revascularization of the culprit lesion and intra-aortic balloon counterpulsation. The patient underwent further successful cardiovascular surgical correction of his incompetent mitral valve, free wall rupture and other obstructive coronary arteries, leading to discharge and survival. Mechanical complications from AMI and the role of intra-aortic balloon support are discussed. |
| | |
Authors:
|
John P Liuzzo; Yong T Shin; Christopher Choi; Sanjaykumar Patel; Robert Braff; John T Coppola |
Related Documents
:
|
10745555 - Angioplasty and stenting of solitary supra-aortic artery and aortoplasty by kissing bal... 7083545 - Clinical evaluation of the percor percutaneous intraaortic balloon: cooperative study o... 1519195 - Surgical closed pulmonary valvotomy for critical pulmonary stenosis: implications for t... 2737685 - Long-term efficacy of balloon pulmonary valvoplasty in late adult life. 7949665 - Surgical correction of anomalous origin of the left coronary artery from the pulmonary ... 20590705 - Review of published information on foam sclerotherapy. |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: The Journal of invasive cardiology Volume: 18 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2006 Mar |
Date Detail:
|
Created Date: 2006-04-06 Completed Date: 2006-06-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 135-40 Citation Subset: IM |
Affiliation:
|
Comprehensive Cardiovascular Center at Saint Vincent Catholic Medical Centers, New York, New York, USA. jl2697@columbia.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary* Cardiac Surgical Procedures* Heart Injuries / etiology* Humans Intra-Aortic Balloon Pumping* Lacerations / complications, etiology*, surgery Male Mitral Valve Insufficiency / etiology, surgery Myocardial Infarction / complications, pathology*, therapy* Papillary Muscles / pathology* Rupture, Spontaneous |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Initial experiences of removal of intra-aortic balloon pumps with the Angio-Seal.
Next Document: Amino acid substitutions in malate dehydrogenases of piezophilic bacteria isolated from intestinal c...