Cardiac rupture following acute myocardial infarction: a case with successful surgical treatment.
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.
Nasser
T K
TK
Indiana Heart Institute, St. Vincent Hospital.
Nasser
W K
WK
Slack
J D
JD
Pinkerton
C A
CA
Smith
M L
ML
Adlam
J H
JH
Pinto
R P
RP
Bergfelder
P
P
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