JTCS Click here to go to SJM website.
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Pifarre, R.
Right arrow Articles by Gunnar, R. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Pifarre, R.
Right arrow Articles by Gunnar, R. M.

The Journal of Thoracic and Cardiovascular Surgery, Vol 86, 441-443, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Management of left ventricular rupture complicating myocardial infarction

R Pifarre, HJ Sullivan, J Grieco, A Montoya, M Bakhos, PJ Scanlon and RM Gunnar

Rupture of the left ventricle secondary to myocardial infarction may occur more often than is suspected. More time than anticipated may be available between rupture and catastrophic deterioration. Hemodynamic stabilization, diagnostic studies, and surgical treatment can be successfully undertaken. Four patients have been successfully treated in our institution. Rupture occurred from 1 to 14 days after infarction. Persistent chest pain was present in all. All were hemodynamically unstable and all stabilized with counterpulsation. One patient was in cardiogenic shock, two had a cardiac arrest, and one presented with cardiac tamponade requiring two emergency pericardiocenteses. Coronary arteriography was done in all four patients. Surgical management consisted of infarctectomy and repair of the ventricular rupture. Additionally, a single aortacoronary bypass graft was needed in two patients and repair of a ventricular septal rupture was necessary in a third. There was no operative mortality. One patient drowned 1 year later. We conclude that successful surgical management requires (1) suspicion of ventricular rupture, (2) hemodynamic stabilization by counterpulsation, (3) coronary arteriography, and (4) combined infarctectomy and repair with revascularization.


This article has been cited by other articles:


Home page
 Card Surg AdultHome page
A. K. Agnihotri, J. C. Madsen, and W. M. Daggett Jr
Surgical Treatment of Complications of Acute Myocardial Infarction: Postinfarction Ventricular Septal Defect and Free Wall Rupture
Card. Surg. Adult, January 1, 2008; 3(2008): 753 - 784.
[Full Text]

Home page
 CirculationHome page
S. J. Canovas, E. Lim, M. J. Dalmau, M. Bueno, J. Buendia, F. Hornero, O. Gil, R. Garcia, R. Paya, J. Perez, et al.
Midterm Clinical and Echocardiographic Results With Patch Glue Repair of Left Ventricular Free Wall Rupture
Circulation, September 9, 2003; 108(90101): II-237 - 240.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
R. Svedjeholm, E. Hakanson, M. Lindstrom, and P. Hjort
Post-infarct left ventricular free wall rupture and ventricular septal defect managed by pericardial aspiration during transport to referral hospital
Interactive CardioVascular and Thoracic Surgery, June 1, 2003; 2(2): 193 - 195.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
A. K. Agnihotri, J. C. Madsen, and W. M. Daggett Jr.
Surgical Treatment of Complications of Acute Myocardial Infarction: Postinfarction Ventricular Septal Defect and Free Wall Rupture
Card. Surg. Adult, January 1, 2003; 2(2003): 681 - 714.
[Full Text]

Home page
 Eur. J. Cardiothorac. Surg.Home page
V. Mantovani, D. Vanoli, P. Chelazzi, V. Lepore, S. Ferrarese, and A. Sala
Post-infarction cardiac rupture: surgical treatment
Eur. J. Cardiothorac. Surg., November 1, 2002; 22(5): 777 - 780.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. Lachapelle, B. deVarennes, P. L. Ergina, and R. Cecere
Sutureless patch technique for postinfarction left ventricular rupture
Ann. Thorac. Surg., July 1, 2002; 74(1): 96 - 101.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
M-J Hung, C-H Wang, and W-J Cherng
Unruptured left ventricular pseudoaneurysm following myocardial infarction
Heart, July 1, 1998; 80(1): 94 - 97.
[Abstract] [Full Text]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
C. E Nwogu, J. M Moran, R. M Becker, and A T. Pezzella
Surgical Approach to Myocardial Rupture After Acute Myocardial Infarction
Asian Cardiovasc Thorac Ann, June 1, 1998; 6(2): 108 - 114.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. J. Reardon, C. L. Carr, A. Diamond, G. V. Letsou, H. J. Safi, R. Espada, and J. C. Baldwin
Ischemic Left Ventricular Free Wall Rupture: Prediction, Diagnosis, and Treatment
Ann. Thorac. Surg., November 1, 1997; 64(5): 1509 - 1513.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
H. Yaku, G. Fermanis, D. A. Horton, D. Guy, and R. Lvoff
Successful Repair of a Ruptured Postinfarct Pseudoaneurysm of the Left Ventricle
Ann. Thorac. Surg., October 1, 1995; 60(4): 1097 - 1098.
[Abstract] [Full Text]

Home page
 JAMAHome page
H. Bolooki
Surgical Treatment of Complications of Acute Myocardial Infarction
JAMA, March 2, 1990; 263(9): 1237 - 1240.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1983 by The American Association for Thoracic Surgery.