Ischemic left ventricular free wall rupture: Prediction, diagnosis, and treatment

Michael J. Reardon, Christian L. Carr, Angela Diamond, George V. Letsou, Hazim J. Safi, Rafael Espada, John C. Baldwin

Research output: Contribution to journalReview article

73 Scopus citations

Abstract

Left ventricular free wall rupture is the third leading complication and the second most common cause of death after myocardial infarction. Its occurrence has been considered an unpredictable event usually leading to death. An increased appreciation for the clinical presentation of this syndrome and the nearly ubiquitous use of echocardiography have fostered a rise in the antemortem diagnosis of left ventricular free wall rupture, allowing the possibility of operative repair. Despite the increased reporting of left ventricular free wall rupture, the experience of any one surgeon or surgical group tends to be quite small. We review the current status of rupture prediction, clinical presentation, diagnosis, and treatment options. A recent case of left ventricular free wall rupture referred to the Baylor Cardiothoracic Surgery Group with the misdiagnosis of ruptured dissection of the ascending thoracic aorta is presented to illustrate our approach to this clinical situation.

Original languageEnglish (US)
Pages (from-to)1509-1513
Number of pages5
JournalAnnals of Thoracic Surgery
Volume64
Issue number5
DOIs
StatePublished - Nov 1997

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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