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Left ventricular rupture following coronary occlusion treated by streptokinase infusion: successful surgical repair
M Stiegel1, S H Zimmern, F Robicsek
1Department of Thoracic and Cardiovascular Surgery, Charlotte Memorial Hospital and Medical Center, NC 28235.
Insights
A patient experienced left ventricular free wall rupture after myocardial infarction treatment. Successful emergency surgery involving cardiac resuscitation and repair saved his life.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Myocardial infarction (MI) management involves reperfusion therapies.
- Complications can arise despite timely interventions.
Observation:
- A 68-year-old man developed left ventricular free wall rupture six hours post-myocardial infarction treatment.
- The rupture led to cardiac tamponade and cardiac arrest.
Findings:
- Successful emergency treatment included cardiac resuscitation.
- Surgical repair involved patch closure of the perforation and coronary bypass grafting.
Implications:
- This case highlights a rare but life-threatening complication of myocardial infarction.
- Prompt surgical intervention is crucial for survival in such critical events.
Abstract:
A 68-year-old man suffered a myocardial infarction and was treated initially with streptokinase infusion, followed by coronary balloon angioplasty. Six hours later he suffered rupture of the free wall of the left ventricle, pericardial tamponade, and cardiac arrest. He was treated successfully by cardiac resuscitation, patch closure of the perforation, and coronary bypass grafting.