Percutaneous intrapericardial fibrin-glue infusion therapy for rupture of left ventricular free wall following acute myocardial infarction

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[Left ventricular free wall rupture after percutaneous coronary reperfusion following acute myocardial infarction].

Due to the elevated rate of mortality with which it is associated, left ventricular (LV) free wall rupture is a dreaded complication of acute myocardial infarction (AMI). The incidence is especially high during the first 24 hours, after which it decreases progressively; beyond the fifth day post-AMI, this complication is uncommon. The onset is usually acute, in the form of cardiac tamponade, al...

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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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Successful Therapy of Ventricular Rupture by Percutaneous Intrapericardial Instillation of Fibrin Glue: A Case Report

Rupture of the ventricular myocardium is an often lethal complication after myocardial infarction. Due to the dramatic hemodynamics and the short time frame between ventricular rupture and surgical closure of the defect, additional therapeutic strategies are needed. Here we report the successful therapy of ventricular rupture by percutaneous intrapericardial instillation of fibrin glue in a 72-...

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Post-myocardial Infarction Left Ventricular Free-wall Rupture

Occurrence of left ventricular free wall rupture following myocardial infarction is an unpredictable event associated with very high mortality rate. The most appropriate surgical approach remains controversial. With recent advances in portable echocardiography machines there has been a progressive rise in the number of cases of left ventricular free wall rupture diagnosed and reported. Early di...

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Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction

Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction (MI). We report a case of a 73-year-old male who developed LVFWR five days after a transmural MI. The diagnosis was confirmed with echocardiography, which showed a large pericardial effusion with a clot in the pericardial sac. This case emphasizes that a high index of clinical suspicion for the acu...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1996

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(96)82212-1