A sixty-five-year-old male patient was admitted to a peripheral hospital with chest pain of several hours’ duration. This followed a previous episode, which occurred three days earlier. At admittance, the patient was in hemodynamic compromise, blood pressure of 90/55 mmHg, cold extremities and sweating. The ECG showed signs of infero-posterolateral acute myocardial infarction (AMI), confirmed by high blood troponin levels. The echocardiography showed pericardial effusion, with blood and clots in the pericardium. Furthermore, akinesia and reduced infero-posterolateral wall thickness and likely contained left ventricular (LV) free-wall rupture (LVFWR) were also detected
Managing and repairing ventricular free-wall rupture: the triple-patch technique
Di Mauro, Michele;
2022-01-01
Abstract
A sixty-five-year-old male patient was admitted to a peripheral hospital with chest pain of several hours’ duration. This followed a previous episode, which occurred three days earlier. At admittance, the patient was in hemodynamic compromise, blood pressure of 90/55 mmHg, cold extremities and sweating. The ECG showed signs of infero-posterolateral acute myocardial infarction (AMI), confirmed by high blood troponin levels. The echocardiography showed pericardial effusion, with blood and clots in the pericardium. Furthermore, akinesia and reduced infero-posterolateral wall thickness and likely contained left ventricular (LV) free-wall rupture (LVFWR) were also detectedI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
