[Rupture of the left ventricle into the free pericardium in the early stage of a myocardial infarction. Diagnosis using echocardiography and surgical treatment].
A case of subacute left ventricular rupture on the 4th day of an inaugural antero-septal infarction in a 63-year old woman is reported. The diagnosis, suggested by cardiovascular collapse with acute tamponade, was confirmed by echocardiography. Haemodynamic stability was maintained by needle aspiration followed by pericardial drainage, and right heart catheterization long enough for the patient to be transported to a Cardiovascular Surgery unit where surgical repair was successfully performed 9 hours after the rupture. The elements for a positive diagnosis, the value of echocardiography, the various surgical procedures and the favourable long-term prognosis in patients operated upon are discussed.
D006348:Cardiac Surgical Procedures / Q000379:methods; D002305:Cardiac Tamponade / Q000209:etiology / Q000628:therapy; D004322:Drainage; D004452:Echocardiography; D005260:Female; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*
Rupture du ventricule gauche en péricarde libre à la phase précoce de l'infarctus du myocarde. Diagnostic par échocardiographie et traitement chirurgical.