Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?

Ventricular free wall rupture (VFWR) is a catastrophic complication of myocardial infarction that poses an imminent surgical emergency. Early recognition is essential as it can expedite the process for a life-saving surgical intervention. We present a case of an acute left VFWR resulting from an und...

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Detalles Bibliográficos
Autores principales: Ramirez Damera, Ramses, Kong, Alexander, Khan, Muhammad I, Patel, Hiren, Javaid, Aamir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994673/
https://www.ncbi.nlm.nih.gov/pubmed/35419247
http://dx.doi.org/10.7759/cureus.23042
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author Ramirez Damera, Ramses
Kong, Alexander
Khan, Muhammad I
Patel, Hiren
Javaid, Aamir
author_facet Ramirez Damera, Ramses
Kong, Alexander
Khan, Muhammad I
Patel, Hiren
Javaid, Aamir
author_sort Ramirez Damera, Ramses
collection PubMed
description Ventricular free wall rupture (VFWR) is a catastrophic complication of myocardial infarction that poses an imminent surgical emergency. Early recognition is essential as it can expedite the process for a life-saving surgical intervention. We present a case of an acute left VFWR resulting from an underlying myocardial infarction which showed a “milking-like effect” during diagnostic angiography. “Milking-like effect” is an angiographic phenomenon typically seen in myocardial bridging, which occurs due to the compression of the intramyocardial coronary segments during systole. The presence of this phenomenon is believed to occur due to the extrinsic compression of the coronary by the evolving hemopericardium.
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spelling pubmed-89946732022-04-12 Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture? Ramirez Damera, Ramses Kong, Alexander Khan, Muhammad I Patel, Hiren Javaid, Aamir Cureus Cardiac/Thoracic/Vascular Surgery Ventricular free wall rupture (VFWR) is a catastrophic complication of myocardial infarction that poses an imminent surgical emergency. Early recognition is essential as it can expedite the process for a life-saving surgical intervention. We present a case of an acute left VFWR resulting from an underlying myocardial infarction which showed a “milking-like effect” during diagnostic angiography. “Milking-like effect” is an angiographic phenomenon typically seen in myocardial bridging, which occurs due to the compression of the intramyocardial coronary segments during systole. The presence of this phenomenon is believed to occur due to the extrinsic compression of the coronary by the evolving hemopericardium. Cureus 2022-03-10 /pmc/articles/PMC8994673/ /pubmed/35419247 http://dx.doi.org/10.7759/cureus.23042 Text en Copyright © 2022, Ramirez Damera et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Ramirez Damera, Ramses
Kong, Alexander
Khan, Muhammad I
Patel, Hiren
Javaid, Aamir
Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?
title Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?
title_full Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?
title_fullStr Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?
title_full_unstemmed Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?
title_short Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?
title_sort can milking-like effect be the first clue of a ventricular free wall rupture?
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994673/
https://www.ncbi.nlm.nih.gov/pubmed/35419247
http://dx.doi.org/10.7759/cureus.23042
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