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Korean J Thorac Cardiovasc Surg 2000; 33(10): 834-838

Published online October 5, 2000

Copyright © Journal of Chest Surgery.

Postinfarction Left Ventricular Free Wall Rupture -2 case report-

Do-Kyun Kim, M.D.*, Byung-Chul Chang, M.D.*, Young-Tae Kwak, M.D.*, Young-Nam Yoon, M.D.*, Chi-Soon Yoon, M.D.*, Sung-Sil Choi, M.D.*

*Department of Cardiovascular Surgery, Cardiovascular Center, Yonsei University College Of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Left ventricular free wall rupture following acute myocardial infarction(AMI) is the second most common cause of death and has been reported to be responsible for 4 to 24% of all infarction deaths. The rupture occurs anywhere from a few hours to several days after AMI. The common findings of ventricular rupture are persistent chest pain, bradycardia, and shock. This may be often mistaken for the ruptured dissection of the ascending aorta. The different points from dissection are 1) persistent chest pain 2) persistent ST segment elevation, and 3) only intramural hematoma in ascending aorta. We have successfully managed two patients with postinfarction myocardial rupture. Surgical management consisted of infarctectomy, repair of the ventricular rupture and coronary artery bypass grafting. We conclude that successful surgical management of ventricular free wall rupture should require prompt diagnosis and emergency operation.
(Korean Thorac Cardiovasc Surg 2000;33:834-8)

Keywords: Heart ventricular, left, Myocardial infarction, Heart rupture

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Korean J Thorac Cardiovasc Surg 2000; 33(10): 834-838

Published online October 5, 2000

Copyright © Journal of Chest Surgery.

Postinfarction Left Ventricular Free Wall Rupture -2 case report-

Do-Kyun Kim, M.D.*, Byung-Chul Chang, M.D.*, Young-Tae Kwak, M.D.*, Young-Nam Yoon, M.D.*, Chi-Soon Yoon, M.D.*, Sung-Sil Choi, M.D.*

*Department of Cardiovascular Surgery, Cardiovascular Center, Yonsei University College Of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Left ventricular free wall rupture following acute myocardial infarction(AMI) is the second most common cause of death and has been reported to be responsible for 4 to 24% of all infarction deaths. The rupture occurs anywhere from a few hours to several days after AMI. The common findings of ventricular rupture are persistent chest pain, bradycardia, and shock. This may be often mistaken for the ruptured dissection of the ascending aorta. The different points from dissection are 1) persistent chest pain 2) persistent ST segment elevation, and 3) only intramural hematoma in ascending aorta. We have successfully managed two patients with postinfarction myocardial rupture. Surgical management consisted of infarctectomy, repair of the ventricular rupture and coronary artery bypass grafting. We conclude that successful surgical management of ventricular free wall rupture should require prompt diagnosis and emergency operation.
(Korean Thorac Cardiovasc Surg 2000;33:834-8)

Keywords: Heart ventricular, left, Myocardial infarction, Heart rupture

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