RESUMO
A case of isolated rupture of the right ventricle secondary to acute MI, presented as cardiac tamponade, is reported. The patient underwent successful emergency surgery for closure of the right ventricular rupture without aortocoronary bypass.
Assuntos
Ruptura Cardíaca Pós-Infarto , Ruptura Cardíaca , Idoso , Tamponamento Cardíaco/etiologia , Eletrocardiografia , Ruptura Cardíaca/complicações , Ruptura Cardíaca/diagnóstico , Ruptura Cardíaca/cirurgia , Ruptura Cardíaca Pós-Infarto/complicações , Ruptura Cardíaca Pós-Infarto/diagnóstico , Ruptura Cardíaca Pós-Infarto/cirurgia , Ventrículos do Coração , Humanos , MasculinoAssuntos
Insuficiência da Valva Aórtica/etiologia , Valva Aórtica/fisiopatologia , Adulto , Idoso , Insuficiência da Valva Aórtica/diagnóstico , Insuficiência da Valva Aórtica/fisiopatologia , Ecocardiografia , Feminino , Hemodinâmica , Humanos , Masculino , Pessoa de Meia-Idade , Prolapso/complicações , Prolapso/diagnósticoRESUMO
Systolic constriction of the left anterior descending coronary artery is a well-recognized angiographic and autopsy finding. The etiology of this phenomenon is an intramural course of the coronary artery. Even though there has been autopsy evidence of an intramural course of the right coronary artery, this rare finding has not been associated with systolic constriction, "bridging" on coronary angiography. There is evidence that strenuous exercise can induce ischemia in an intramural left coronary artery. We therefore present a case report of angiographic evidence of systolic constriction of the right coronary artery.