Anesthetic implications of subacute left ventricular rupture following acute myocardial infarction: a case report.
Rupture of the free wall of the left ventricle, a relatively common complication of acute myocardial infarction, is associated with a high mortality rate. The clinical course can vary from catastrophic, that is death, to incomplete rupture with the formation of a pseudoaneurysm. Subacute rupture is a condition that demands expeditious diagnosis and surgical repair if the patient is to survive. Surgical repair can be difficult at best. This article reports a case of subacute rupture of the left ventricle that was successfully repaired using a novel surgical technique and discusses the anesthetic implications surrounding the case.
Bard
J W
JW
Emory Clinic, Crawford W. Long Hospital, Atlanta, Ga., USA.
D000368:Aged; D000769:Anesthesia, Inhalation / Q000379:methods* / Q000451:nursing; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D002496:Central Venous Pressure; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods / Q000451:nursing; D009203:Myocardial Infarction / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000601:surgery*