Left ventricular free wall rupture possibly induced by coronary spasm View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-07

AUTHORS

Osamu Shigemitsu, Tetsuo Hadama, Shinji Miyamoto, Hirofumi Anai, Hidenori Sako, Tomoyuki Wada

ABSTRACT

A 68-year-old woman complained of chest discomfort after a traffic accident in which she driving hit a child. At about twenty-five minutes later, she went into sudden cardiogenic shock due to acute myocardial infarction caused by non-occlusive intracoronary thrombosis without significant organic coronary stenosis and without any sign of extraluminal contrast pooling on coronary angiography. She was transported to our emergency room by ambulance because of cardiac tamponade caused by a left ventricular free wall rupture following the acute myocardial infarction. On arrival, she was near cardio-pulmonary arrest on intraaortic balloon pumping. We performed emergency open cardiac massage and pericardiotomy. The hairline perforation responsible for the blowout-type left ventricular free wall rupture was successfully closed with Teflon-reinforced sutures. In conclusion, it was strongly suspected that the present case of left ventricular free wall rupture was caused by acute myocardial infarction due to intracoronary thrombosis following coronary spasm without significant organic coronary stenosis or rupture of atheromatous plaque. More... »

PAGES

461-465

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02913914

DOI

http://dx.doi.org/10.1007/bf02913914

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026841782

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11517584


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