Ventricular Rupture Following Myocardial Infarction
Christian Fielder Camm1, Stefan Neubauer, David P Taggart
1University of Oxford, Department of Cardiology, John Radcliffe Hospital, Headley Way, Oxford, Oxfordshire OX39DU, United Kingdom. christian.camm@cardiov.ox.ac.uk.
The Journal of Invasive Cardiology
|April 26, 2017
Summary
A 70-year-old man experienced chest pain due to extensive heart disease. Prompt cardiac magnetic resonance imaging revealed ventricular rupture, successfully treated with bypass surgery and rupture repair.
Area of Science:
- Cardiology
- Cardiac Surgery
- Cardiovascular Imaging
Background:
- A 70-year-old male patient with a history of extensive multivessel disease was scheduled for coronary artery bypass surgery.
- The patient presented with prolonged and worsening cardiac chest pain, indicating a potential complication.
Observation:
- Further chest pain episodes prompted advanced cardiac magnetic resonance imaging (CMR).
- CMR revealed an extensive, contained ventricular rupture, a critical cardiac emergency.
Findings:
- The ventricular rupture was successfully managed using a combined surgical approach.
- This involved both coronary artery bypass surgery and direct repair of the rupture.
Implications:
- Aggressive and timely intervention is crucial for managing contained ventricular rupture.
- Combined surgical strategies can effectively treat complex cardiac emergencies like ventricular rupture.
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