Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction
Cardiogenic shock and myocardial rupture can complicate an acute myocardial infarction (AMI). A case is reported in which a 58-year-old male with an acute inferior myocardial infarction required placement of biventricular assist device for hemodynamic support eight days after the onset of his AMI; e...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2013/767541 |
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| author | Yazhini Ravi Emily P. Sudhakar Pratima Nayak Chittoor B. Sai-Sudhakar Konstantinos Dean Boudoulas |
| author_facet | Yazhini Ravi Emily P. Sudhakar Pratima Nayak Chittoor B. Sai-Sudhakar Konstantinos Dean Boudoulas |
| author_sort | Yazhini Ravi |
| collection | DOAJ |
| description | Cardiogenic shock and myocardial rupture can complicate an acute myocardial infarction (AMI). A case is reported in which a 58-year-old male with an acute inferior myocardial infarction required placement of biventricular assist device for hemodynamic support eight days after the onset of his AMI; eleven days after his AMI, the patient developed abrupt onset of hemodynamic instability with massive bleeding from his chest tube due to delayed free wall myocardial rupture that was discovered when he was taking emergently to the operating room. Myocardial rupture in patients with a ventricular assist device should be considered in the differential diagnosis in the event of acute hemodynamic compromise. A high level of suspicion for such a complication should prompt aggressive and emergent actions including surgery. We present a case of delayed free wall myocardial rupture following an acute inferior wall myocardial infarction in a patient with biventricular mechanical circulatory support. |
| format | Article |
| id | doaj-art-4c7ed9a8c28042a5b15973710c5699ce |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-4c7ed9a8c28042a5b15973710c5699ce2025-02-03T07:24:25ZengWileyCase Reports in Cardiology2090-64042090-64122013-01-01201310.1155/2013/767541767541Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial InfarctionYazhini Ravi0Emily P. Sudhakar1Pratima Nayak2Chittoor B. Sai-Sudhakar3Konstantinos Dean Boudoulas4Division of Cardiac Surgery, Department of Surgery, The Ohio State University, 420 W 12th Avenue, Columbus, OH 43210, USADivision of Cardiovascular Medicine, Department of Medicine, The Ohio State University, Columbus, OH 43210, USACollege of Medicine, The Ohio State University, Columbus, OH 43210, USADivision of Cardiac Surgery, Department of Surgery, The Ohio State University, 420 W 12th Avenue, Columbus, OH 43210, USADivision of Cardiovascular Medicine, Department of Medicine, The Ohio State University, Columbus, OH 43210, USACardiogenic shock and myocardial rupture can complicate an acute myocardial infarction (AMI). A case is reported in which a 58-year-old male with an acute inferior myocardial infarction required placement of biventricular assist device for hemodynamic support eight days after the onset of his AMI; eleven days after his AMI, the patient developed abrupt onset of hemodynamic instability with massive bleeding from his chest tube due to delayed free wall myocardial rupture that was discovered when he was taking emergently to the operating room. Myocardial rupture in patients with a ventricular assist device should be considered in the differential diagnosis in the event of acute hemodynamic compromise. A high level of suspicion for such a complication should prompt aggressive and emergent actions including surgery. We present a case of delayed free wall myocardial rupture following an acute inferior wall myocardial infarction in a patient with biventricular mechanical circulatory support.http://dx.doi.org/10.1155/2013/767541 |
| spellingShingle | Yazhini Ravi Emily P. Sudhakar Pratima Nayak Chittoor B. Sai-Sudhakar Konstantinos Dean Boudoulas Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction Case Reports in Cardiology |
| title | Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction |
| title_full | Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction |
| title_fullStr | Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction |
| title_full_unstemmed | Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction |
| title_short | Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction |
| title_sort | biventricular mechanical circulatory support does not prevent delayed myocardial ventricular rupture following myocardial infarction |
| url | http://dx.doi.org/10.1155/2013/767541 |
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