Transmural myocardial infarction with coexisting critical aortic stenosis as an etiology for early myocardial rupture.
Myocardial rupture is the most important cause of post-infarct sudden death after myocardial infarction other than shock and dysrhythmias. Usually unrecognized, pseudoaneurysm formation is a delayed consequence of myocardial rupture in a small portion of patients who will remain at high risk for late rupture and death. Clinical studies have defined a profile of the patient who is at increased risk for post-infarct myocardial rupture. We believe that an additional factor, ventricular outflow tract obstruction, may add to the risk of having a post infarct rupture. A high degree of suspicion by the clinician accompanied by the timely performance of diagnostic tests may help to decrease the mortality from this catastrophic event.
Connery
C P
CP
Division of Cardiothoracic Surgery, St. Luke's/Roosvelt Hospital Center, Columbia University, New York, NY 10025.
Dumont
H J
HJ
Dervan
J P
JP
Hartman
A R
AR
Anagnostopoulos
C E
CE
D001024:Aortic Valve Stenosis / Q000150:complications*; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology; D006342:Heart Rupture, Post-Infarction / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D014694:Ventricular Outflow Obstruction / Q000150:complications