Contained myocardial rupture: a variant linking complete and incomplete rupture

Myocardial rupture is an uncommon complication of myocardial infarction, often with devastating haemodynamic consequences. Although rupture is usually fatal, when patients do survive, the majority present with a pseudoaneurysm in which the rupture is sealed by a haematoma on the epicardial surface o...

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Published in:Heart (British Cardiac Society) 2005-02, Vol.91 (2), p.e13-e13
Main Authors: Helmy, T A, Nicholson, W J, Lick, S, Uretsky, B F
Format: Article
Language:English
Subjects:
Angina Pectoris - etiology
Blood clots
cardiac rupture
Catheters
Communication
Electronic Pages
free wall rupture
Heart attacks
Heart Rupture, Post-Infarction - diagnosis
Heart Rupture, Post-Infarction - pathology
Heart Rupture, Post-Infarction - surgery
Humans
Male
Middle Aged
Mortality
myocardial infarction
pseudoaneurysm
Surgery
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container_title Heart (British Cardiac Society)
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creator Helmy, T A
Nicholson, W J
Lick, S
Uretsky, B F
description Myocardial rupture is an uncommon complication of myocardial infarction, often with devastating haemodynamic consequences. Although rupture is usually fatal, when patients do survive, the majority present with a pseudoaneurysm in which the rupture is sealed by a haematoma on the epicardial surface of the heart. Cases in which all myocardial layers are dissected except the epicardium or visceral pericardium have been included under this subheading. The authors describe such a case and suggest the pathological description of a “contained myocardial rupture”. This link between complete and incomplete myocardial rupture may allow a more conservative management approach to be pursued.
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subjects Angina Pectoris - etiology
Blood clots
cardiac rupture
Catheters
Communication
Electronic Pages
free wall rupture
Heart attacks
Heart Rupture, Post-Infarction - diagnosis
Heart Rupture, Post-Infarction - pathology
Heart Rupture, Post-Infarction - surgery
Humans
Male
Middle Aged
Mortality
myocardial infarction
pseudoaneurysm
Surgery
title Contained myocardial rupture: a variant linking complete and incomplete rupture
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