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A Lethal But Treatable Complication: Free Wall Rupture After Acute Myocardial Infarction
- Source :
- Volume: 3, Issue: 1 41-44, European Journal of General Medicine
- Publication Year :
- 2015
- Publisher :
- Sağlık Bilimleri Araştırmaları Derneği, 2015.
-
Abstract
- A 43-year-old male patient was admitted to coronary intensive care unit with the diagnosis of acute inferolateral myocardial infarction and with a picture of cardiogenic shock. In physical examination, systolic blood pressure was 50 mmHg and diastolic blood pressure could not be taken. The patient was diagnosed with cardiogenic shock and was started on saline, dopamine and dobutamine infusion. His blood pressure did not increase although the dosage of positive inotropic agents was increased. A cardiac tamponade revealed with urgent echocardiographic evaluation and pericardiocentesis was carried out. Blood pressure returned to normal range within hours after pericardiosentesis. Echocardiographic examination performed on the second day of AMI on the asymptomatic patient revealed thrombosed myocardial rupture. The patient was referred to emergency surgery with the diagnosis of three-vessel disease and myocardial rupture according to urgent angiography. In the operation, the ruptured region in the ventricle free wall was primarily repaired. By-pass surgery was performed with saphenous vein graft to the LAD and CV-OM1 coronary arteries. Key words: Free wall rupture, acute myocardial infarction, treatment.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
Cardiogenic shock
General Medicine
medicine.disease
Myocardial rupture
Free wall rupture,acute myocardial infarction,treatment
Blood pressure
Pericardiocentesis
Internal medicine
Cardiac tamponade
medicine
Cardiology
Dobutamine
Myocardial infarction
business
Coronary intensive care
medicine.drug
Subjects
Details
- Language :
- English
- ISSN :
- 13043889 and 13043897
- Database :
- OpenAIRE
- Journal :
- Volume: 3, Issue: 1 41-44, European Journal of General Medicine
- Accession number :
- edsair.doi.dedup.....537e97be49acb25481e48deca87b6ffb