Atypical development of free wall rupture during myocardial infarction
Authors:
D. Karpianus; F. Toušek; Š. Šindelářová; R. Krejčí
Authors‘ workplace:
České Budějovice
; Primář: MUDr. František Toušek, FESC.
; Kardiocentrum – kardiologie, Nemocnice České Budějovice, a. s.
Published in:
Prakt. Lék. 2009; 89(3): 140-142
Category:
Case Report
Overview
Our case report describes a 63-year-old female patient who was hospitalized in our department after having had chest pains for over 2 days and who was suffering from increasing breathlessness. ECG recording showed inferolateral ST segment elevation but without the development of Q wave, which is typical during subacute myocardial infarction (MI) of inferior wall. Since the patient had been suffering from chest pain for more than two days, an echocardiographic examination (TTE) was required before surgical intervention could be carried out. This proved to be the right decision because echocardiography detected free wall rupture. After selective coronarography, the patient was transferred to the Department of Cardiac surgery where surgery was performed.
Key words:
acute myocardial infarction, free wall rupture, cardiac tamponade.
Sources
1. Aschermann, M. a kol. Kardiologie. Praha: Galén, 2004, s. 281, 880.
2. Štejfa, M. Kardiologie. Praha: Grada, 2007, s. 504-505.
3. Batts, K.P., Ackermann, D.M., Edwards, W.D. Post-infarction rupture of the left ventricular free wall: clinicopathologic correlates in 100 consecutive autopsy cases. Hum. Pathol. 1990; 21, p. 530-535.
4. Becker, R.C., Charlesworth, A., Wilcox, R.G. et al. Cardiac rupture associated with thrombolytic therapy: impact of time to treatment in the Late Assessment of Thrombolytic Efficacy (LATE) study. J. Am. Coll. Cardiol. 1995; 25, p. 1063-1068.
5. David, T.E. Surgery for postinfarction rupture of the free wall of the ventricle. In: David TE (ed): Mechanical Complications of Myocardial Infarction. Austin, TX: RG Landes, 1993; p 142.
6. Widimský, P., Janoušek, S., Vojáček, J. Doporučení pro diagnostiku a léčbu akutního infarktu myokardu (Q-typ // s elevacemi ST // s raménkovým blokem). Cor. Vasa 2002, 44(7–8), K123–K143. Dostupné na http://www.kardio-cz.cz/index.php? &desktop=clanky&action=view&id=213.
7. Westaby, S., Parry, A., Ormerod, O. et al. Thrombolysis and postinfarction ventricular septal rupture. J. Thorac. Cardiovasc. Surg. 1992; 104, p. 1506-1509.
8. Pollack, H., Diez, W., Spiel, R. et al. Early diagnosis of subacute free wall rupture complicating acute myocardial infarction. Eur. Heart J. 1993; 14, p. 640-648.
9. Agnihotri, A.K., Madsen, J.C., Daggett, W.M. Jr. Surgical treatment of complications of acute myocardial infarction: postinfarction ventricular septal defect and free wall rupture. In: Cohn Lh, ed. Cardiac Surgery in the Adult. New York: McGraw-Hill, 2008, p.753-784.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2009 Issue 3
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