Postinfarction left ventricular rupture salvaged by resuscitation induced pericardial tear.
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.
Kan
Chung-Ben
CB
Division of Cardiovascular Surgery, Department of Surgery, Chia-Yi Christian Hospital, Chiayi, Taiwan.
Chu
I-Tseng
IT
Chang
Rei-Yeuh
RY
Chang
Jen-Ping
JP
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