Document Detail

Ventricular free wall rupture following acute myocardial infarction.
MedLine Citation:
PMID:  12966268     Owner:  NLM     Status:  MEDLINE    
Ventricular free wall rupture remains a dreaded complication of acute myocardial infarction. A dramatic fatal presentation is not universal and if recognized early, especially in its sub-acute form, a therapeutic intervention may be lifesaving. Changing trends in its natural history and the previously described pathological subtypes have emerged since the advent of thrombolysis. Although frequently unpredictable, certain clinical, echocardiographic and electrocardiographic signs should suggest the diagnosis. Moreover, knowledge of predisposing risk factors and a high index of suspicion are helpful in early recognition of this complication. In recent years, several different therapeutic approaches have been described including percutaneous seals and surgical mechanical closure of ventricular free wall rupture. In this review, we sought to highlight established and debatable aspects of this pathology to hopefully enhance prompt diagnosis and treatment by all clinicians caring for patients suffering acute myocardial infarction.
Yochai Birnbaum; Antonio J Chamoun; Angelo Anzuini; Scott D Lick; Masood Ahmad; Barry F Uretsky
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Coronary artery disease     Volume:  14     ISSN:  0954-6928     ISO Abbreviation:  Coron. Artery Dis.     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-10     Completed Date:  2004-03-19     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  9011445     Medline TA:  Coron Artery Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  463-70     Citation Subset:  IM    
Division of Cardiology, Department of Internal Medicine, University of Texas Medical Branch, 5106 John Sealy Annex, 301 University Boulevard, Galveston, TX 77555-0553, USA.
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MeSH Terms
Aneurysm, False / diagnosis,  physiopathology,  therapy
Heart Rupture, Post-Infarction / diagnosis,  physiopathology*,  therapy
Heart Ventricles / injuries
Myocardial Infarction / diagnosis,  physiopathology*,  therapy

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