title: Use of intra-aortic balloon pump support for oozing-type cardiac rupture after acute myocardial infarction.
abstract: Left ventricular free wall rupture usually leads to acute hemopericardium and sudden cardiac death resulting in cardiac tamponade. Rarely, only a few patients with subacute free wall rupture such as oozing-type ventricular rupture or left ventricular false aneurysm may permit time for pericardiocentesis and surgery. We report a 63-year-old man with ST-elevation myocardial infarction who underwent primary percutaneous coronary intervention about 12 hours from the onset, and cardiac tamponade occurred on the second day. An intra-aortic balloon pump (IABP) was immediately inserted for hemodynamic support. After 100 mL of pericardial fresh blood was drained from the percardial cavity, his hemodynamic collapse was promptly improved with IABP support. In the following 24 hours, about 600 mL of hemorrhagic pericardial fluid was drained. The most likely diagnosis was concerning for oozing-type ventricular rupture, and a conservative approach was decided. The patient survived to the acute phase under IABP support and was discharged with complete recovery.
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China. Electronic address: blyynk@hotmail.com.
authors.forename: Zhi-Ping
authors.initials: ZP
authors.lastname: Zhang
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Xi
authors.initials: X
authors.lastname: Su
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Cheng-Wei
authors.initials: CW
authors.lastname: Liu
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Song
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Peng
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Ming-Xiang
authors.initials: MX
authors.lastname: Wu
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Yu-Chun
authors.initials: YC
authors.lastname: Yang
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Liu
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Cheng-Yi
authors.initials: CY
authors.lastname: Xu
authors.affiliation: Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Wang
mesh_terms: D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D006341:Heart Rupture / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy*