Cardiac angiography was reviewed in 91 patients with post-infarction ventricular septal rupture. The results were compared with those of 123 stable survivors who had a positive submaximal exercise test early after infarction. Anterior infarction and occlusion of the infarct vessel were more common in those with ventricular septal rupture than in the comparison group. In the group with ventricul...

Endocardial splitting and left atrial rupture were diagnosed in a dog with mitral regurgitation that experienced the sudden onset of collapsing episodes, weakness, depression, labored breathing, and weak pulses. Thoracic radiographs showed a rounded cardiac silhouette with prominent left atrium consistent with hemopericardium due to left atrial rupture. Two-dimensional echocardiography confirme...

Free left ventricular wall rupture following acute myocardial infarction usually results in cardiac tamponade and sudden death. Occasionally, the bleeding into the pericardial sac is arrested by the surrounding pericardial tissue causing formation of a pseudoaneurysm. The case herein reported presented with a refractory pericardial effusion 1 month after an anterior myocardial infarction. While...

A 74-year-old woman, without a history of cardiolog-ical problems or risk factors of cardiovascular diseases, was admitted to the emergency room of our hospital after 2 h of chest pain. During the transport, the patient received 5000 U of unfractionated heparin, aspirin (300 mg) and clopidogrel (600 mg). The patient had suffered from an anxiety syndrome for several years. At admission, the pati...

Seong Cheol Jeong, Si Young Choi, Jae Jun Kim and Yong Hwan Kim* Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Seoul, South Korea * Corresponding author. Uijeongbu St. Mary’s Hospital 65-1, Geumo-dong, Uijeongbu, Gyeonggi-do, 480-821, South Korea. Tel: +82-31-8203586; fax: +82-31-8472934; e-mail: cmccs@na...

A fatal case of post-myocardial infarction syndrome (PMIS) followed by a rupture of an inferior left ventricular aneurysm is described. Attention is drawn to the growing number of reports of aneurysm in PMIS, and the clinico-pathological significance of this association is discussed.

A 64-year-old woman was admitted to the hospital with chest discomfort. ECG recording and coronary angiography were performed and revealed myocardial infarction due to an occlusion of the left anterior descending coronary artery. During angiography, cardiac arrest occurred, and closed-chest cardiac massage was performed successfully. After 3 minutes of resuscitation, a sinus rhythm was restored...