title: Cardiac rupture following acute myocardial infarction: a case with successful surgical treatment.
abstract: This report involves a patient who sustained an acute lateral wall myocardial infarction complicated by cardiogenic shock. Cardiac catheterization revealed diastolic equilibration of all intracardiac pressures. Cardiac angiography revealed only acute occlusion of a small branch of the left circumflex coronary artery with good left ventricular systolic function. Since these findings could not explain the degree of cardiogenic shock, an immediate echocardiogram revealed a moderate pericardial effusion with an echo-dense mass suggestive of subacute cardiac rupture. Emergency cardiac surgery confirmed the diagnosis and successful surgical correction resulted in survival of the patient.
authors.affiliation: Indiana Heart Institute, St. Vincent Hospital.
authors.forename: T K
authors.initials: TK
authors.lastname: Nasser
authors.forename: W K
authors.initials: WK
authors.lastname: Nasser
authors.forename: J D
authors.initials: JD
authors.lastname: Slack
authors.forename: C A
authors.initials: CA
authors.lastname: Pinkerton
authors.forename: M L
authors.initials: ML
authors.lastname: Smith
authors.forename: J H
authors.initials: JH
authors.lastname: Adlam
authors.forename: R P
authors.initials: RP
authors.lastname: Pinto
authors.forename: P
authors.initials: P
authors.lastname: Bergfelder
mesh_terms: D006328:Cardiac Catheterization; D004452:Echocardiography; D006341:Heart Rupture / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged