Heart rupture: a case of successful medical treatment of acute rupture of left ventricular free wall during acute myocardial infarction with following surgical correction

Authors: R.M. Rabinovich 1, M.M. Alshibaya 2

Company: 1 Regional vascular centre «Regional clinical hospital»; Peterburgskoe shosse, 105, Tver’ Region Tver', 170036, Russian Federation;
2 A.N. Bakoulev Scientific Center for Cardiovascular Surgery; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation.


DOI: https://doi.org/10.15275/kreatkard.2015.03.06

For citation: Rabinovich RM, Alshibaya MM. Heart rupture: a case of successful medical treatment of acute rupture of left ventricular free wall during acute myocardial infarction with following surgical correction. Creative Cardiology. 2015; 3: 67-79 (in Russian)

Keywords: acute myocardial infarction rupture of left ventricular free wall surgical plastic mechanic complications of acute myocardial infarction

Полнотекстовая версия:  

 

Abstract

Rupture of left ventricular free wall is severe complication of the acute transmural myocardial infarction with high mortality level. It requires emergent surgical closure of the defect. There is the case of long-time medical treatment of patient with diagnosed postinfarction rupture of left ventricular free wall and pericardial effusion in the article. Unstable state of the patient made difficult to transport him to the cardio-surgical clinic. But accurate medical treatment with thorough control of hemodynamic parameters led to false aneurism forming and stabilization of patient state, which allowed to perform successful complex surgery – coronary-artery bypass grafting, left ventricular plastic and mitral valve plastic routinely.

References

  1. Kirklin/Barratt-Boyes Cardiac Surgery. 4th ed. Saunders; 2012

  2. Lee H.M., Lee Y.T., Kim W.S. et al. Surgical treatment of post-infarction left ventricular free wall rupture: Three cases review. Korean J. Thorac. Cardiovasc. Surg. 2013; 46: 357–61.

  3. Haddadin S., Milano A.D., Faggian G. et al. Surgical treatment of post.infarction left ventricular free wall rupture. J. Card. Surg. 2009; 24: 624–31.

  4. Batts K.P., Ackermann D.M., Edwards W.D. Postinfarction rupture of the left ventricular free wall: Clinicopathologic correlates in 100 consecutive autopsy cases. Hum. Pathol. 1990; 21: 530–5.

  5. Cobbs B.W., Hatcher C.R., Robinson P.H. Cardiac rupture. Three operations with two long-term survivals. JAMA. 1973; 223: 532–5.

  6. Padro J.M., Mesa J.M., Silveste J. et al. Subacute cardiac rupture: repair with a sutureless technique. Ann. Thorac. Surg. 1993; 55: 20–4.

  7. Balakumaran K., Verbaan C.J., Essed C.E. et al. Ventricular free wall rupture: sudden, subacute, slow, sealed and stabilized varieties. Eur. Heart. J. 1984; 5: 282–8.

  8. Roberts W.C., Morrow A.G. Pseudoaneurism of the left ventricle: an unusual sequence of myocardial infarction and rupture of the heart. Am. J. Med. 1967; 43: 639.

  9. Gueron M. Wanderman K.L. Hirsh M., Borman J. Pseudoaneurism of the left ventricle after myocardial infarction: a curable form of myocardial rupture. J. Thorac. Cardiovasc. Surg. 1975; 69: 736

  10. Baue A.E. Immediate thoracotomy for a stab wound of the heart. JAMA. 1963; 186: 521.

  11. Krumbhaar E.B., Crowell C. Spontaneous rupture of the heart. Am. J. Med. Sci. 1925; 170: 828–56.

  12. Harvey W. Complete works (Translated by R.Willis). London: Sydenham Society; 1847: 127.

  13. O'Rourke M.F. Subacute heart rupture following myocardial infarction. Clinical features of a correctable condition. Lancet. 1973; 22: 124–6.

  14. Lateef F., Nimbcar M. Ventricular free wall rupture after myocardial infarction. Hong Kong J. Emerg. Med. 2003; 10: 238–46.

  15. Pollak H., Nobis H., Mlczoch J. Frequency of left ventricular free wall rupture complicating acute myocardial infarction since the advent of thrombolysis. Am. J. Cardiol. 1994; 72: 184–6.

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery