Document Detail

Survival after simultaneous left ventricular free wall, papillary muscle, and ventricular septal rupture.
MedLine Citation:
PMID:  15511416     Owner:  NLM     Status:  MEDLINE    
Cardiac rupture is a catastrophic complication of acute myocardial infarction. The three potential sites of rupture are the left ventricular free wall, interventricular septum, and papillary muscle. Without rapid surgical correction, each of these complications typically leads to cardiogenic shock, multiorgan failure, and death. Postmortem analysis has identified a small number of cases in which myocardial infarction led to rupture at more than one of these sites; however, there are no reports of survival from such an event. We report a case involving rupture at all three sites in the same patient, emphasizing the importance of transesophageal echocardiography and surgical management.
Peter A Walts; A Marc Gillinov
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  78     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-29     Completed Date:  2005-02-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e77-8     Citation Subset:  AIM; IM    
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
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MeSH Terms
Cardiopulmonary Bypass
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Heart Arrest / etiology
Heart Rupture, Post-Infarction / etiology*,  surgery,  ultrasonography
Heart Valve Prosthesis Implantation
Heart Ventricles* / surgery,  ultrasonography
Intra-Aortic Balloon Pumping
Intraoperative Complications / surgery
Mitral Valve Insufficiency / surgery
Myocardial Infarction / complications*
Papillary Muscles* / ultrasonography
Ventricular Septal Rupture / etiology,  surgery,  ultrasonography

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

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