Subacute rupture of the free left ventricular wall in a patient with inferolateral non-STEMI presenting by cardiogenic shock and critical limb ischemia

Vladimír Dytrych; Jan Bělohlávek; Jaroslav Lindner; Tomáš Gruss; Roman Škulec; Tomáš Kovárník; Jan Horák; Pavel Poláček; Aleš Linhart; Michael Aschermann

doi:10.33678/cor.2007.112

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Subacute rupture of the free left ventricular wall in a patient with inferolateral non-STEMI presenting by cardiogenic shock and critical limb ischemia

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Subacute rupture of the free left ventricular wall in a patient with inferolateral non-STEMI presenting by cardiogenic shock and critical limb ischemia

Vladimír Dytrych, Jan Bělohlávek, Jaroslav Lindner, Tomáš Gruss, Roman Škulec, Tomáš Kovárník, Jan Horák, Pavel Poláček, Aleš Linhart and Michael Aschermann

Cor et vasa (English ed.), Vol.49(9), pp.313-317

09/01/2007

DOI: 10.33678/cor.2007.112

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Abstract

Rupture of the free myocardial wall is a rare complication of acute myocardial infarction. Acute rupture is virtually always a fatal complication not allowing therapeutic intervention; even subacute rupture is associated with high mortality. However, its prognosis may be markedly better if diagnosed prior to the development of advanced multiorgan dysfunction or heart arrest. A number of papers have suggested the incidence of free left ventricular wall rupture is lower in patients treated by catheter-based reperfusion therapy. By contrast, the complication occurs more often in the presence of extensive infarction and undeveloped collateral vascular bed. The main methods for diagnosing of subacute rupture of the free left ventricular wall include, in addition to clinical assessment, transthoracic and transesophageal echocardiography, left-heart ventriculography, and cardiac CT or MRI. The only therapeutic option in most cases of subacute rupture of the free left ventricular wall is surgery. The authors present the case report of a patient with subacute rupture in the presence of inferolateral myocardial infarction, which was eventually identified in time and successfully treated despite considerable diagnostic pitfalls.

Details

Title: Subtitle: Subacute rupture of the free left ventricular wall in a patient with inferolateral non-STEMI presenting by cardiogenic shock and critical limb ischemia
Creators: Vladimír Dytrych
Jan Bělohlávek
Jaroslav Lindner - Charles University
Tomáš Gruss - Charles University
Roman Škulec
Tomáš Kovárník
Jan Horák
Pavel Poláček
Aleš Linhart
Michael Aschermann - Charles University
Resource Type: Journal article
Publication Details: Cor et vasa (English ed.), Vol.49(9), pp.313-317
DOI: 10.33678/cor.2007.112
ISSN: 0010-8650
eISSN: 1803-7712
Language: English
Date published: 09/01/2007
Academic Unit: Electrical and Computer Engineering
Record Identifier: 9984627218702771

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