Myocardial infarction-related left ventricular rupture with the tear across the ventricular wall detected on echocardiography
| Autor: | Tadashi Isomura, Kazumasa Orihashi, Masaki Yamamoto, Kazuhiro Hanazaki, Naohito Yamasaki, Kohei Miyashita, Hiroaki Kitaoka |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Heart Ventricles Ventricular Free Wall Rupture Heart Rupture Myocardial Infarction Hemorrhage 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Epicardial echocardiography Internal medicine medicine Humans cardiovascular diseases Myocardial infarction Aged business.industry Suture Techniques Ventricular wall General Medicine medicine.disease Cardiac surgery medicine.anatomical_structure 030228 respiratory system Echocardiography Ventricle Cardiothoracic surgery cardiovascular system Cardiology Surgery Cardiology and Cardiovascular Medicine business Left ventricular wall |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 68:67-69 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-018-1023-x |
| Popis: | A 79-year-old man underwent repair surgery for a left ventricular free wall rupture after an acute myocardial infarction. The surgical procedure followed for ventricular rupture was according to the rupture type. The patient showed slowly oozing bleeding through small holes. Epicardial echocardiography detected the color signals that crossed the left ventricular wall. Two channels were directly connected from the ventricular cavity to the epicardial hole. Although the bleeding hole was covered with collagen hemostats using a sutureless technique, the bleeding remained, probably because of the pressure exerted by the left ventricle on the channels connected to the epicardial hole. The suture closure technique might be better in cases with channels across the ventricular wall, as detected on echocardiography. We describe a case of left ventricular rupture followed by acute myocardial infarction in which the channel connected to the ruptured ventricular tear was detected on epicardial echocardiography. |
| Databáze: | OpenAIRE |
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