RESUMEN
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.
Asunto(s)
Aneurisma Falso/diagnóstico , Ecocardiografía Transesofágica/métodos , Electrocardiografía/métodos , Aneurisma Cardíaco/diagnóstico , Rotura Cardíaca Posinfarto/diagnóstico , Humanos , India , Angiografía por Resonancia Magnética/métodos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/complicaciones , Medición de Riesgo , Índice de Severidad de la Enfermedad , Negativa del Paciente al TratamientoRESUMEN
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.
Asunto(s)
Estimulación Cardíaca Artificial , Procedimientos Quirúrgicos Cardíacos , Taponamiento Cardíaco/diagnóstico , Angiografía Coronaria , Enfermedad de la Arteria Coronaria/diagnóstico , Ecocardiografía , Rotura Cardíaca Posinfarto/diagnóstico , Ventrículos Cardíacos/lesiones , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/diagnóstico , Técnicas de SuturaRESUMEN
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.
Asunto(s)
Humanos , Masculino , Enfermedades de la Aorta/diagnóstico , Errores Diagnósticos , Rotura Cardíaca Posinfarto/diagnóstico , Hematoma/diagnóstico , Persona de Mediana EdadAsunto(s)
Humanos , Protocolos Clínicos , Infarto del Miocardio/complicaciones , Infarto del Miocardio/tratamiento farmacológico , Infarto del Miocardio/terapia , Angina de Pecho/tratamiento farmacológico , Angina de Pecho/etiología , Arritmias Cardíacas/tratamiento farmacológico , Arritmias Cardíacas/terapia , Bloqueo Cardíaco/tratamiento farmacológico , Defectos del Tabique Interventricular/diagnóstico , Pericarditis/tratamiento farmacológico , Rotura Cardíaca Posinfarto/diagnóstico , Complejos Prematuros Ventriculares/tratamiento farmacológicoRESUMEN
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.
Asunto(s)
Anciano , Puente de Arteria Coronaria , Ecocardiografía , Electrocardiografía , Femenino , Cateterismo Cardíaco , Rotura Cardíaca Posinfarto/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Rotura Septal Ventricular/diagnósticoRESUMEN
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