Contained Myocardial Rupture

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Contained myocardial rupture: a variant linking complete and incomplete rupture.

Myocardial rupture is an uncommon complication of myocardial infarction, often with devastating haemodynamic consequences. Although rupture is usually fatal, when patients do survive, the majority present with a pseudoaneurysm in which the rupture is sealed by a haematoma on the epicardial surface of the heart. Cases in which all myocardial layers are dissected except the epicardium or visceral...

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Contained Left Ventricular Free Wall Rupture following Myocardial Infarction

Rupture of the free wall of the left ventricle occurs in approximately 4% of patients with infarcts and accounts for approximately 20% of the total mortality of patients with myocardial infractions. Relatively few cases are diagnosed before death. Several distinct clinical forms of ventricular free wall rupture have been identified. Sudden rupture with massive hemorrhage into the pericardium is...

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Asymptomatic contained left ventricular rupture

Background A 55 year old patient presented late to the emergency department following an ST elevation myocardial infarction (STEMI). Coronary angiogram demonstrated occluded left anterior descending artery with backfilling from collaterals. The patient was referred for an in-patient cardiac MRI scan (CMRI) to quantify left ventricular (LV) function and viability. A repeat CMRI was requested 3 m...

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Left Ventricular Contained Rupture: True or Pseudoaneurysm?

Left ventricular wall rupture after acute myocardial infarction (MI) is a fatal complication with the risk of sudden cardiac death. Such contained rupture presents as aneurysmal dilatation of ventricular wall on echocardiography. Pseudoaneurysm with contained rupture sealed by pericardium needs early surgical intervention. Here, the authors present similar case mimicking as pseudoaneurysm on ec...

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Chronic contained rupture of an abdominal aortic aneurysm.

The operative treatment of chronic contained rupture of a saccular abdominal aortic aneurysm (AAA) with retroperitoneal haematoma is reported. A 62-year-old man presented with a painless abdominal mass and intermittent claudication. He had an episode of severe abdominal pain about 2 years before admission. A giant retroperitoneal neoplasm was initially suspected, based on computed tomography. H...

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ژورنال

عنوان ژورنال: Academic Forensic Pathology

سال: 2019

ISSN: 1925-3621,1925-3621

DOI: 10.1177/1925362119891685