Milking-Like Effect as the First Clue of Left Ventricular Free Wall Rupture
| Autor: | Fernando Alfonso, Daniel Rodríguez, Fernando Rivero, Teresa Bastante, Amparo Benedicto, Javier Cuesta, María Cruz Aguilera |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Systole medicine.medical_treatment Heart Ventricles 030204 cardiovascular system & hematology Coronary Angiography Pericardial effusion Pericardial Effusion 03 medical and health sciences 0302 clinical medicine Aneurysm Fatal Outcome Troponin T Internal medicine Cardiac tamponade medicine Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Aged Heart Rupture Post-Infarction Aged 80 and over business.industry Percutaneous coronary intervention medicine.disease Surgery Cardiac Tamponade medicine.anatomical_structure cardiovascular system Cardiology ST Elevation Myocardial Infarction Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | The Canadian journal of cardiology. 32(8) |
| ISSN: | 1916-7075 |
| Popis: | Left ventricular free wall rupture (FWR) is a rare but dreadful complication after acute myocardial infarction (AMI). A coronary "milking-like" effect has been previously related to ventricular pseudoaneurysm or true aneurysm but not yet with other mechanical complications such as left ventricular FWR. We describe 2 patients with AMI showing a coronary milking-like effect in the infarct-related artery at the time of primary percutaneous coronary intervention. Left ventricular FWR eventually developed and the patients died. We propose that a coronary milking-like effect in the infarct-related artery is a marker of patients at high risk for this life-threatening mechanical complication. |
| Databáze: | OpenAIRE |
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