title: [Surgical repair of free wall rupture after myocardial infarction].
abstract: Between August 1992 and July 1995 five patients with cardiac free wall rupture after acute myocardial infarction underwent surgical treatment in Centro de Cirurgia Torácica do Hospital de S. João. The diagnosis was suggested by the hemodynamic changes and in four patients confirmed with echocardiography and pericardiocentesis. All patients survived and were discharged from the hospital. Medical treatment with inotropic drugs, pericardiocentesis and intraaortic balloon counterpulsation allows hemodynamic stabilization but only early surgery may assure survival.
authors.affiliation: Centro de Cirurgia Torácica, Hospital de São João, Porto.
authors.forename: J
authors.initials: J
authors.lastname: Casanova
authors.forename: V
authors.initials: V
authors.lastname: Monteiro
authors.forename: J
authors.initials: J
authors.lastname: Almeida
authors.forename: M R
authors.initials: MR
authors.lastname: Gomes
mesh_terms: D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Correcção cirúrgica de rotura de parede livre pós-enfarte do miocárdio.