Double cardiac rupture after direct infarct coronary angioplasty: report of a case.
The occurrence of double cardiac rupture (DCR) after a successful direct infarct coronary angioplasty (DICA) is extremely uncommon. We describe herein the case of a patient who underwent delayed DICA and despite successful recanalization, subsequently suffered DCR, as a postinfarction ventricular septal defect (PIVSD) with left ventricular free wall rupture (LVFWR). Emergency surgery was performed, and the patient is now doing well more than 2 years after his operation. The possible mechanisms of DCR after delayed DICA are discussed following the presentation of this unusual case.
Dudra
J
J
Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Okamoto
F
F
Sasaki
S
S
Sakai
K
K
Yasuda
K
K
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D014463:Ultrasonography; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*