Subacute Left Ventricular Free-Wall and Double Cardiac Rupture: Clinical Features and Surgical Considerations of a Surgically Salvageable Condition

1994 ◽  
Vol 2 (2) ◽  
pp. 78-82
Author(s):  
Harinder Singh Bedi ◽  
Vijay Kumar Sharma ◽  
Vijay Kohli ◽  
Anil Mishra ◽  
Ashok Jayant ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricle ◽  
Cerebrovascular Accident ◽  
Surgical Intervention ◽  
Interventricular Septum ◽  
Left Ventricular ◽  
Cardiac Rupture ◽  
Free Wall ◽  
Review Of The Literature ◽  
Left Ventricular Free Wall

Subacute cardiac rupture after myocardial infarction carries a high mortality. This article describes 4 cases—3 with rupture of the left ventricle and 1 with a combined rupture of the left ventricle and interventricular septum (double rupture). All patients were successfully operated; however, the patient with the double rupture died of a massive cerebrovascular accident on the 8th postoperative day. The importance of early diagnosis and prompt surgical intervention is discussed, along with a review of the literature.

scholarly journals Successful Surgical Treatment of Postinfarction Rupture of Left Ventricular Myocardium

2020 ◽  
Vol 9 (1) ◽  
pp. 140-147
Author(s):  
M. K. Mazanov ◽  
N. I. Kharitonova ◽  
A. A. Baranov ◽  
S. Yu. Kambarov ◽  
N. M. Bikbova ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricle ◽  
Surgical Intervention ◽  
Ventricular Myocardium ◽  
Left Ventricular ◽  
Left Ventricular Myocardium ◽  
Free Wall ◽  
Fatal Complication ◽  
Widespread Availability ◽  
Complications Of Myocardial Infarction

ABSTRACT. The rupture of the left ventricle free wall is one of the most dangerous complications of myocardial infarction. Due to the widespread availability of echocardiography method, the detection of this fatal complication and the number of lives saved after surgery grew. The survival of patients depends on early diagnosis, stabilization of the patient’s condition, promptness and tactics of surgical intervention. We report a case of successful closure of a rupture of the left ventricle free wall on the 15th day after myocardial infarction.

Clinical Aspects and Repair of Cardiac Rupture after Acute Myocardial Infarction

1993 ◽  
Vol 1 (3) ◽  
pp. 116-119
Author(s):  
Masanobu Maeda ◽  
Mitsuya Murase ◽  
Humihiko Murakami ◽  
Katsuhiko Teranishi
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiopulmonary Bypass ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Cardiac Rupture ◽  
Hospital Death ◽  
Free Wall ◽  
Left Ventricular Free Wall ◽  
Free Wall Rupture

Between October 1987 and September 1991, 357 patients were admitted to Ohgaki Municipal Hospital for acute myocardial infarction. Fifteen patients suffered left ventricular free-wall rupture. Of 7 surgical cases, 4 underwent direct closure, 2 patch closure, and 1 collagen sheet covering with fibrin glue. In 1 case, an additional coronary bypass graft was performed. In 6 cases, the myocardium was sutured under cardiopulmonary bypass, and in 1 case it was sutured in the CCU without cardiopulmonary bypass. Seven of the 15 patients suffering from cardiac rupture underwent surgical repair. The remaining 8 nonsurgical cases died. Six of the 7 surgical cases survived. Left ventricular free-wall rupture is the second most frequent cause of hospital death after myocardial infarction following cardiac failure. The key point in salvage from rupture is frequent examination with echocardiography and early diagnosis at the oozing phase. The most important step in surgery is to perform an immediate cardiopulmonary bypass, especially in the oozing phase before the blowout. In postoperative management, intra-aortic balloon pumping should be required for systolic unloading at the suture line.

scholarly journals Correlation between the periodontal treatment and ecocardiographic changes in adult dogs

Interação ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 43-57
Author(s):  
Daniel Paulino Júnior ◽  
Marina Queiroz Derruci ◽  
Leandro Zuccolotto Crivelenti ◽  
Brenda Faria Santos Gomes Parreira ◽  
Fernanda Gosuen Gonçalves Dias
Keyword(s):  
Left Ventricle ◽  
Periodontal Disease ◽  
Dental Treatment ◽  
Oral Treatment ◽  
Interventricular Septum ◽  
Left Ventricular ◽  
Periodontal Treatment ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Left Ventricular Free Wall

Periodontal disease is commonly diagnosed in dogs and has been associated with systemic lesions in several organs, however, studies correlating this oral condition with heart disease in the canine species are still scarce in the scientific literature. Thus, the objective of the present study was to evaluate such correlation in adult dogs, through serial echocardiographic exams and, nonetheless, to analyze the influence of dental treatment on cardiac function. For this, 60 dogs were used, distributed in two groups, the control (CG, n = 30: presence of periodontal disease, not submitted to oral treatment) and the treated (GT, n = 30: presence of periodontal disease and submitted to oral treatment). The animals of the CG were paired with those of the GT in terms of race, weight, age and degree of periodontal disease. Baseline echocardiographic examinations (D0) of the CG were performed and after 30 days (D30). In GT, examinations were also performed at D0 and D30, however, they were submitted to periodontal treatment after baseline measurements. The echocardiographic exams were performed at the Veterinary Cardiology Laboratory of the Veterinary Hospital of the University of Franca, to record and analyze the interventricular septum in diastole (SIVd), interventricular septum in systole (SIVs), diameter of the left ventricle in diastole (DVEd), left ventricular diameter in systole (EVDs), left ventricular free wall in diastole (PVEd) left ventricular free wall in systole (PVEs) shortening fraction of left ventricle (FS), final diastolic volume (VDF), final stroke volume (VSF), ejection fraction (EF), maximum pulmonary artery pressure gradient (max. GP AP) and left atrial and aortic artery diameter ratio (EA-AO). The results of the CG were statistically compared with those of the GT by means of simple analysis of variance (ANOVA). The data obtained regarding the SIVs, DVEd and PVEs parameters of the GT dogs at D30 showed a statistically significant decrease (p<0.05) when compared to the D30 of the CG. Thus, given the established methodology and the results found, it is possible to infer that periodontal treatment may benefit some cardiac parameters of adult dogs, improving their quality of life and survival.

scholarly journals Impella CP for treatment of left ventricular free-wall rupture after myocardial infarction: Report of a case

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Natsuya Ishikawa ◽  
Aina Hirofuji ◽  
Shingo Kunioka ◽  
Tomonori Shirasaka ◽  
Naohiro Wakabayashi ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricle ◽  
Median Sternotomy ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Suture Repair ◽  
Free Wall ◽  
Left Ventricular Free Wall ◽  
Free Wall Rupture

ABSTRACT Unloading of the left ventricle (LV) is essential for the treatment of LV free-wall rupture (LVFWR), and it is well-known that the LV can be optimally unloaded with the Impella system. However, there has been no report on applying the Impella system for the treatment of LVFWR. Here, we report a patient with FWR after massive myocardial infarction who was successfully treated with non-suture repair via median sternotomy and implantation of Impella CP (Abiomed, Danvers, MA).

scholarly journals Survival after Left Ventricular Free Wall Rupture in an Elderly Woman with Acute Myocardial Infarction Treated Only Medically

2012 ◽  
Vol 2012 ◽  
pp. 1-6
Author(s):  
Víctor Hugo Roa-Castro ◽  
Ervin Molina-Bello ◽  
Hector Valenzuela-Suárez ◽  
Tobías Rotberg-Jagode ◽  
Nilda Espinola-Zavaleta
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Left Ventricle ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Left Ventricular Free Wall ◽  
Pseudoaneurysm Formation ◽  
Free Wall Rupture ◽  
First Choice

Pseudoaneurysm of the left ventricle is rare and may occur as a result of transmural myocardial infarction. The course of rupture after acute myocardial infarction varies from a catastrophic event, with an acute tear leading to immediate death (acute rupture), or slow and incomplete tear leading to a late rupture (subacute rupture). Incomplete rupture may occur when the thrombus and haematoma together with the pericardium seal the rupture of the left ventricle and may develop into a pseudoaneurysm. Early diagnosis and treatment is essential in this condition. Two-dimensional color Doppler echocardiography is the first-choice method for most patients with suspected left ventricular pseudoaneurysm (LVP) and suggests left ventricular rupture in 85% to 90% of patients. We report the case of an 87-year-old woman presenting with symptoms and findings of myocardial infarction and left ventricular free wall rupture with a pseudoaneurysm formation diagnosed by echocardiography and confirmed on CT, MRI, and NM. She received only intense medical treatment, because she refused surgery with a favorable outcome. After 24-month followup, she is in NYHA functional class II. The survival of this patient is due to the contained pseudoaneurysm by dense pericardial adhesions, related to her previous coronary bypass surgery.

Sequential rupture of the left ventricular free wall and of the interventricular septum after myocardial infarction. Surgical implications

1988 ◽  
Vol 21 (2) ◽  
pp. 105-110 ◽  
Author(s):  
Bartolo Zingone ◽  
Erika Della Grazia ◽  
Aniello Pappalardo ◽  
Bernardo Benussi ◽  
Roberto Prandi ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Interventricular Septum ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Left Ventricular Free Wall

scholarly journals Left ventricular free wall impeding rupture in post-myocardial infarction period diagnosed by myocardial contrast echocardiography: Case report

2006 ◽  
Vol 4 (1) ◽  
Author(s):  
Maria Luciana Zacarias Hannouche da Trindade ◽  
Jeane Mike Tsutsui ◽  
Ana Clara Tude Rodrigues ◽  
Márcia Azevedo Caldas ◽  
José Antônio Franchini Ramires ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Contrast Echocardiography ◽  
Left Ventricular ◽  
Myocardial Contrast Echocardiography ◽  
Post Myocardial Infarction ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Left Ventricular Free Wall
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