ince the introduction of transvenous cardiac pacing S by Furman and Schwedell in 1959, numerous reports of unusual complications have appeared. To o w knowledge, rupture of a papillary muscle o r any valvular component has not been reported previously. This report describes a case of mitral valve papillary muscle rupture upon removal of a transvenous pacing electrode. Furthermore, this patient ...

We report a case of an idiopathic coronary artery rupture in a 41-year-old male patient who was admitted to the hospital with cardiac tamponade. On opening the chest via a median sternotomy and establishing cardiopulmonary bypass the hemopericardium's cause could be identified as a perforation of the right posterior descending coronary artery which was treated with a saphenous vein patch plasty...

Doppler color flow mapping in conjunction with two-dimensional echocardiography was used to evaluate ventricular septal rupture after myocardial infarction (seven anterior and eight inferior) in 15 patients and to correlate these findings with cardiac catheterization and surgical or autopsy data. Ventricular septal rupture was diagnosed by turbulent flow traversing the ventricular septum. The d...

From the Department of Medicine, The Johns Hopkins Hospital, Baltimore, Maryland. Dr. Mason is now in El Macero, California. Dr. Roberts is now with the Baylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, Texas. Corresponding author: Dean T. Mason, MD, 44725 Country Club Drive, El Macero, California 95618. Nonpenetrating trauma to the chest often results in injury to ...

RUPTURE of the free wall of the heart has been reported to be the cause of death in 4-13% of fatal cases of acute myocardial infarction.' The incidence of this fatal complication is second only to cardiogenic shock and arrhythmias as a cause of death.2 Recent success with acute revascularization in the surgical management of cardiogenic shock, similar success with infarctectomy and direct repai...

RUPTURE of the free wall of the heart has been reported to be the cause of death in 4-13% of fatal cases of acute myocardial infarction.' The incidence of this fatal complication is second only to cardiogenic shock and arrhythmias as a cause of death.2 Recent success with acute revascularization in the surgical management of cardiogenic shock, similar success with infarctectomy and direct repai...

RUPTURE of the free wall of the heart has been reported to be the cause of death in 4-13% of fatal cases of acute myocardial infarction.' The incidence of this fatal complication is second only to cardiogenic shock and arrhythmias as a cause of death.2 Recent success with acute revascularization in the surgical management of cardiogenic shock, similar success with infarctectomy and direct repai...

Left ventricular free wall rupture is responsible for up to 10% of in-hospital deaths following myocardial infarction. It is mainly associated with posterolateral myocardial infarction, and its antemortem diagnosis is rarely made.One of the medical complications of myocardial infarction is the rupture of the free wall, which occurs more frequently in the anterolateral wall in hypertensives, wom...

BACKGROUND Cardiac rupture is an important cause of death in the acute phase after myocardial infarction (MI). Macrophages play a pivotal role in cardiac remodeling after MI. Apoptosis inhibitor of macrophage (AIM) is secreted specifically by macrophages and contributes to macrophage accumulation in inflamed tissue by maintaining survival and recruiting macrophages. In this study, we evaluated ...