ABSTRACT
Pseudoaneursym (PA) formation of left ventricle (LV) following acute myocardial infarction (AMI) is uncommon and is usually believed to be associated with a grave prognosis. We describe a case of 55 year old male patient presented with AMI and heart failure with a systolic murmur later diagnosed to have PA of the lateral wall of LV on echocardiography (transthoracic and transesophageal, TTE andTEE). Cardiac MRI and coronary angiogram (CAG) were performed. CAG showed 60% lesion at origin of major obtuse marginal artery (OM1). The patientwas advised surgical treatment, but he refused and took discharge against medical advice on 27th dayof admission on stable condition.
Subject(s)
Aneurysm, False/diagnosis , Echocardiography, Transesophageal/methods , Electrocardiography/methods , Heart Aneurysm/diagnosis , Heart Rupture, Post-Infarction/diagnosis , Humans , India , Magnetic Resonance Angiography/methods , Male , Middle Aged , Myocardial Infarction/complications , Risk Assessment , Severity of Illness Index , Treatment RefusalABSTRACT
Ventricular rupture following myocardial infarction is a serious clinical problem with a high mortality. A 60-year-old man with left ventricular rupture and cardiac tamponade following myocardial infarction was managed successfully by emergency surgery. An onlay patch of Teflon held in place by an adhesive without any sutures was used to repair the ruptured myocardium.
Subject(s)
Cardiac Pacing, Artificial , Cardiac Surgical Procedures , Cardiac Tamponade/diagnosis , Coronary Angiography , Coronary Artery Disease/diagnosis , Echocardiography , Heart Rupture, Post-Infarction/diagnosis , Heart Ventricles/injuries , Humans , Male , Middle Aged , Myocardial Infarction/diagnosis , Suture TechniquesABSTRACT
Left ventricular rupture is a fatal complication of acute myocardial infarction, however accurate preoperative diagnosis is still difficult. We experienced a postinfarction left ventricular rupture patient whose symptoms and radiologic findings mimicked those of acute intramural hematoma of the aorta. Upon emergency operation, he was proven to have a postinfarction LV rupture and underwent successful surgery. We herein report the case with a brief review of the literature.
Subject(s)
Humans , Male , Aortic Diseases/diagnosis , Diagnostic Errors , Heart Rupture, Post-Infarction/diagnosis , Hematoma/diagnosis , Middle AgedSubject(s)
Humans , Clinical Protocols , Myocardial Infarction/complications , Myocardial Infarction/drug therapy , Myocardial Infarction/therapy , Angina Pectoris/drug therapy , Angina Pectoris/etiology , Arrhythmias, Cardiac/drug therapy , Arrhythmias, Cardiac/therapy , Heart Block/drug therapy , Heart Septal Defects, Ventricular/diagnosis , Pericarditis/drug therapy , Heart Rupture, Post-Infarction/diagnosis , Ventricular Premature Complexes/drug therapyABSTRACT
Eight cases of ruptured interventricular septum associated with myocardial infarction were diagnosed at Siriraj Hospital between 1985-1995. Clinical congestive heart failure and holosystolic murmur were found in all. Diagnosis was confirmed by echocardiogram and right heart catheterization in all patients. Two patients died from congestive heart failure preoperatively and the third case died from organ failure and sepsis postoperatively. Another five cases underwent successful ventricular septal defect closure and coronary artery bypass with good results.
Subject(s)
Aged , Coronary Artery Bypass , Echocardiography , Electrocardiography , Female , Cardiac Catheterization , Heart Rupture, Post-Infarction/diagnosis , Humans , Male , Middle Aged , Retrospective Studies , Ventricular Septal Rupture/diagnosisABSTRACT
We present three patients with left ventricular free wall rupture post acute myocardial infarction, all three treated successfully through surgery. Two of them were submitted to streptokinase IV. In all cases the diagnosis were based on clinical and echocardiographic features. The authors conclude that the diagnostic suspicion can be done easily, the echocardiogram is very useful, and the surgical treatment may led to a good short- and long-term survival