A case of cardiac rupture subsequent to myocardial infarction diagnosed in emergency room.
A 72-year-old woman was transferred to the emergency room because of left anterior chest pain with cold sweating. Electrocardiography revealed recent anterior myocardial infarction. Echocardiography showed akinesis of the mid-ventricular septum to the apex by apical view, a small amount of pericardial effusion and collapse of the right ventricular wall, indicating cardiac tamponade, by subcostal view. These echocardiographic findings strongly suggested cardiac rupture subsequent to the myocardial infarction. Emergent operation was successfully performed to repair the ruptured left ventricle.
Department of Cardiology, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Masakazu
M
Fukuda
Department of Cardiology, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan. nktanaka@ymghp.jp.
Nobuaki
N
Tanaka
Department of Cardiology, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Akihisa
A
Fujii
Department of Cardiology, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Seiko
S
Fukuta
Department of Cardiology, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Tetsuro
T
Oda
Department of Cardiology, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Fumiaki
F
Nakao
Department of Cardiology, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Takashi
T
Fujii
Department of Cardiovascular Surgery, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Kazuhiro
K
Suzuki
Department of Cardiovascular Surgery, Yamaguchi Grand Medical Center, 77 Ohsaki, Hofu, Yamaguchi, 747-8511, Japan.
Hidetoshi
H
Tsuboi
Collapse of right ventricular wall, subcostal view; Echocardiography; Emergent operation; Subacute myocardial infarction