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Rupture of the Free Left Ventricular Wall: A Novel Approach for Reconstruction

Background  A rupture of the free wall of the left ventricle is a rarely seen complication of myocardial infarction and represents an absolute cardiac emergency. Case Description  We hereby present a case of a 64-year-old patient with a rupture of the free left ventricular wall. The patient was trea...

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Detalles Bibliográficos
Autores principales: Fleißner, Felix, Schmitto, Jan D., Napp, L. Christian, Ismail, Issam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023718/
https://www.ncbi.nlm.nih.gov/pubmed/29977736
http://dx.doi.org/10.1055/s-0038-1642613
Descripción
Sumario:Background  A rupture of the free wall of the left ventricle is a rarely seen complication of myocardial infarction and represents an absolute cardiac emergency. Case Description  We hereby present a case of a 64-year-old patient with a rupture of the free left ventricular wall. The patient was treated in an emergent operation with a novel reconstruction method of the left ventricular wall and was discharged 30 days after the initial operation. Conclusion  Left ventricular free wall rupture is rarely described in the literature, which might be because of high mortality in underdiagnosed cases. Therefore, early imaging by echo or computed tomography (CT) is essential for detecting this dangerous condition. Once diagnosed, urgent surgery is mandatory to save the life of the patient.