Myocardial infarction and left ventricular free wall rupture in a patient with a prior pericardiectomy.
A 59-year-old man with an inferolateral myocardial infarction and cardiogenic shock was found to have extensive intrathoracic hemorrhage in communication with the left ventricle. His remote pericardiectomy precluded hemopericardium and tamponade, and permitted the establishment of an unusual diagnosis and subsequent closure of the site of myocardial perforation.
Department of Medicine, Section of Cardiology, St Boniface General Hospital, Winnipeg, Manitoba. tgosaluk@yahoo.co.uk
Tirath
T
Gosal
Roger
R
Phillipp
Andrew L
AL
Morris
D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D010492:Pericardiectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed