Document Detail

An unusual presentation of left ventricular free wall rupture.
MedLine Citation:
PMID:  20931104     Owner:  NLM     Status:  MEDLINE    
Left ventricular free wall rupture (LVFWR) is one of the most lethal complications following myocardial infarction. It accounts for approximately 12% to 21% of all in-hospital deaths following myocardial infarction. The majority of patients die shortly after LVFWR from instantaneous pericardial tamponade and hemodynamic collapse. However, up to one-third of cases are subacute in nature, allowing limited time for emergent surgical repair to prevent sudden death. A high index of suspicion and timely use of diagnostic tests are important in recognizing cases. The present report describes the case of a 69-year-old man who initially presented with acute pericardial tamponade and was subsequently diagnosed with LVFWR in the operating room as the cause of his hemopericardium. The pathology, diagnosis and management of LVFWR are reviewed.
Cecilia Sy Han; Sheena Bohonis; Jonathan R Walker; Minh Vo; Farrukh Hussain; Edward Pascoe; Davinder S Jassal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  26     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2010-10-28     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  328-9     Citation Subset:  IM    
Institute of Cardiovascular Sciences, St Boniface General Hospital, Department of Internal Medicine, University of Manitoba, Winnipeg, Canada.
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MeSH Terms
Cardiac Catheterization
Cardiac Surgical Procedures / methods*
Cardiac Tamponade / diagnosis,  etiology,  surgery
Diagnosis, Differential
Follow-Up Studies
Heart Rupture / complications,  diagnosis*,  surgery
Heart Ventricles*

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