Abstract
We describe a case of subacute left ventricular free wall rupture during acute myocardial infarction in a 68-year-old man. The diagnosis was confirmed by echocardiography. The patient was supported by an intra-aortic balloon pump until the ruptured wall could be successfully repaired by suturing and gluing a pericardial patch over the defect and bypassing the left anterior descending coronary artery with a vein graft. This case demonstrates that left ventricular free wall rupture is not always fatal and that early diagnosis and institution of intra-aortic balloon pump support in such patients can allow successful bridging to definitive emergency surgical therapy.
Original language | English |
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Pages (from-to) | 424-426 |
Number of pages | 3 |
Journal | Texas Heart Institute Journal |
Volume | 32 |
Issue number | 3 |
State | Published - 2005 |
Externally published | Yes |
Keywords
- Echocardiography
- Heart catheterization
- Heart rupture, post-infarction/ diagnosis/surgery/ultrasonography
- Heart ventricle/pathology/surgery
- Humans
- Intra-aortic balloon pumping
- Male
- Myocardial infarction/complications/therapy
- Ventricular septal rupture