Myocardial free wall rupture as a complication of STEMI

Autor:	Lukáš, Urban, Milan, Dragula, Tomáš, Bolek, Miloš, Kňazeje, Matej, Samoš
Rok vydání:	2022
Předmět:	Myocardial Infarction Internal Medicine Humans ST Elevation Myocardial Infarction Cardiovascular Agents Cardiac Surgical Procedures Middle Aged Cardiology and Cardiovascular Medicine
Zdroj:	Vnitřní lékařství. 68:187-190
ISSN:	1801-7592 0042-773X
Popis:	Myocardial free wall rupture is a rare, but serious complication of acute myocardial infarction with high mortality. We present a case of a 64-year-old patient with this devastating complication of an anterior ST segment elevation myocardial infarction (STEMI) with a prolonged time delay. Cardiac surgery was not performed due to prohibitive surgical risk and predicted poor prognosis. We describe our successful therapeutic intervention consisting of immediate pericardial drainage, vasoactive and inotropic support, intraaortic balloon pump placement and continuous veno-venous hemodialysis. This combined therapy led to patient stabilization and after incremental clinical improvement the patient was able to return to a normal life. After several months a long-term mechanical circulatory support was implanted as a bridge to heart transplant.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f4ffc6ec5eca858e361357320c89abef https://doi.org/10.36290/vnl.2022.037 Zobrazit plný text záznamu