HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Chemnitius, J. M. Articles by Tebbe, U. Search for Related Content PubMed PubMed Citation Articles by Chemnitius, J. M. Articles by Tebbe, U.

European Journal of Cardio-Thoracic Surgery, Vol 5, 51-55, Copyright © 1991 by European Association for Cardio-thoracic Surgery

ARTICLES

Successful surgical management of left ventricular free wall rupture in the course of myocardial infarction

JM Chemnitius, T Schmidt, J Wojcik, W Ruschewski, H Kreuzer and U Tebbe
Department of Cardiology, Georg-August-University, Gottingen, FRG.

The case of a 49-year-old patient is described who presented with cardiogenic shock and electrocardiographic signs of an inferolateral Q- wave infarction, and who received systemic lysis with anisoylated plasminogen streptokinase activator complex (Eminase). After coronary angiography had revealed only peripheral occlusion of a posterolateral branch of the left circumflex coronary artery, a pericardial effusion surrounding both right and left ventricular cavity was identified by echocardiography and was successfully drained via an inferior pericardiotomy with an immediate rise of blood pressure. Upon thoracotomy myocardial rupture was detected in the infarct area and was closed with mattress sutures. A total of 39 cases of successful surgical repair of myocardial free wall rupture reported in the literature is discussed. The mean age of patients was 59.6 +/- 1.3 years. Posterior and anterolateral infarctions were the preferred locations of myocardial rupture. Rupture occurred with a mean delay of 5.0 +/- 1.0 days after the onset of clinical infarct signs. Among patients saved by surgical means were 33 males and 6 females.

This article has been cited by other articles:

				P. K. Mishra, V. Pathi, and A. Murday Post myocardial infarction left ventricular free wall rupture Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 39 - 42. [Abstract] [Full Text] [PDF]

				J. Iemura, H. Oku, M. Otaki, H. Kitayama, T. Inoue, and T. Kaneda Surgical strategy for left ventricular free wall rupture after acute myocardial infarction Ann. Thorac. Surg., January 1, 2001; 71(1): 201 - 204. [Abstract] [Full Text] [PDF]

				F. W. H. Sutherland, F. J. Guell, V. L. Pathi, and S. K. Naik Postinfarction Ventricular Free Wall Rupture: Strategies for Diagnosis and Treatment Ann. Thorac. Surg., April 1, 1996; 61(4): 1281 - 1285. [Abstract] [Full Text]