title: Postinfarction left ventricular rupture salvaged by resuscitation induced pericardial tear.
abstract: A 73-year-old diabetic, hypertensive man sustained acute inferolateral wall myocardial infarction 2 days before a syncopal episode, and he was resuscitated on the way to the hospital and during the preoperative examination. An extensive tear of the left posterolateral pericardium with massive left hemothorax and left ventricular free wall rupture with pulsatile bleeding were found during surgery. Iatrogenic pericardial tear due to vigorous cardiac massage could temporarily relieve the pericardial tamponade due to the postinfarction ventricular rupture and allowed the timely surgery to be conducted.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, Chia-Yi Christian Hospital, Chiayi, Taiwan.
authors.forename: Chung-Ben
authors.initials: CB
authors.lastname: Kan
authors.forename: I-Tseng
authors.initials: IT
authors.lastname: Chu
authors.forename: Rei-Yeuh
authors.initials: RY
authors.lastname: Chang
authors.forename: Jen-Ping
authors.initials: JP
authors.lastname: Chang
mesh_terms: D000368:Aged; D006342:Heart Rupture, Post-Infarction / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D010496:Pericardium / Q000293:injuries*; D012151:Resuscitation / Q000009:adverse effects