Successful invasive management and surgical repair of subacute ventricular rupture complicating myocardial infarction.
We describe a patient following acute myocardial infarction with a protracted clinical course presenting transient episodes of hypotension, who eventually developed cardiac tamponade. Echocardiography demonstrated pericardial effusion and emergency pericardiocentesis revealed blood. The patient's condition was stabilized and she underwent emergency thoracotomy with successful repair of left ventricular rupture. We discuss the literature and suggest an approach for management of patients with suspected ventricular rupture after myocardial infarction.
Hammerman
Haim
H
Intensive Cardiac Care Unit, Rambam Medical Center and the Bruce Rapapport Faculty of Medicine, Technion, Haifa, Israel.
Isserles
Schlomo
S
Milo
Simcha
S