Use of intra-aortic balloon pump support for oozing-type cardiac rupture after acute myocardial infarction
| Autor: | Jian Peng, Xi Su, Fang Wang, Bo Liu, Cheng-Wei Liu, Chengyi Xu, Zhi-Ping Zhang, Dan Song, Ming-Xiang Wu, Yu-Chun Yang |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Heart Rupture Myocardial Infarction 030204 cardiovascular system & hematology Hemopericardium Coronary Angiography Sudden cardiac death Diagnosis Differential 03 medical and health sciences Electrocardiography 0302 clinical medicine Cardiac tamponade Internal medicine medicine Humans Myocardial infarction Intra-aortic balloon pump Intra-Aortic Balloon Pumping business.industry Cardiac Rupture Pericardial fluid General Medicine Middle Aged medicine.disease 030228 respiratory system Pericardiocentesis Echocardiography cardiovascular system Emergency Medicine Cardiology business |
| Zdroj: | The American journal of emergency medicine. 34(1) |
| ISSN: | 1532-8171 |
| Popis: | Left ventricular free wall rupture usually leads to acute hemopericardium and sudden cardiac death resulting in cardiac tamponade. Rarely, only a few patients with subacute free wall rupture such as oozing-type ventricular rupture or left ventricular false aneurysm may permit time for pericardiocentesis and surgery. We report a 63-year-old man with ST-elevation myocardial infarction who underwent primary percutaneous coronary intervention about 12 hours from the onset, and cardiac tamponade occurred on the second day. An intra-aortic balloon pump (IABP) was immediately inserted for hemodynamic support. After 100 mL of pericardial fresh blood was drained from the percardial cavity, his hemodynamic collapse was promptly improved with IABP support. In the following 24 hours, about 600 mL of hemorrhagic pericardial fluid was drained. The most likely diagnosis was concerning for oozing-type ventricular rupture, and a conservative approach was decided. The patient survived to the acute phase under IABP support and was discharged with complete recovery. |
| Databáze: | OpenAIRE |
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