Postinfarction Left Ventricular Rupture Salvaged by Resuscitation Induced Pericardial Tear

Chung Ben Kan, I. Tseng Chu, Rei Yeuh Chang*, Jen Ping Chang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

7 Scopus citations

Abstract

A 73-year-old diabetic, hypertensive man sustained acute inferolateral wall myocardial infarction 2 days before a syncopal episode, and he was resuscitated on the way to the hospital and during the preoperative examination. An extensive tear of the left posterolateral pericardium with massive left hemothorax and left ventricular free wall rupture with pulsatile bleeding were found during surgery. Iatrogenic pericardial tear due to vigorous cardiac massage could temporarily relieve the pericardial tamponade due to the postinfarction ventricular rupture and allowed the timely surgery to be conducted.

Original languageEnglish
Pages (from-to)2030-2032
Number of pages3
JournalAnnals of Thoracic Surgery
Volume89
Issue number6
DOIs
StatePublished - 06 2010
Externally publishedYes

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