Non-ST-segment elevation myocardial infarction with evidence of transmural infarction complicated by left ventricular rupture during percutaneous coronary intervention.
BMJ Case Rep
; 13(10)2020 Oct 31.
Article
em En
| MEDLINE
| ID: mdl-33130578
ABSTRACT
We report a case of a 68-year-old man presenting with a non-ST-segment elevation myocardial infarction, complicated by fatal left ventricular free wall rupture with electromechanical disassociation and cardiac tamponade during percutaneous coronary intervention. The aetiology for the sudden haemodynamic collapse was initially unclear; however, transthoracic echocardiography confirmed pericardial tamponade and postmortem revealed complete transmural myocardial infarction with left ventricular free wall rupture. This serves as an important lesson that transmural infarction and subsequent mechanical complications, including ventricular rupture, can occur in non-ST-segment myocardial infarction and not just ST-segment myocardial infarction.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ruptura Cardíaca Pós-Infarto
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Intervenção Coronária Percutânea
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Infarto do Miocárdio sem Supradesnível do Segmento ST
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Ventrículos do Coração
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Complicações Intraoperatórias
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Aged
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Humans
/
Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article