Left ventricular pseudoaneurysm is a rare and lethal condition associated with a high risk of rapid enlargement and rupture. It develops after transmural myocardial infarction (MI), cardiac surgery, trauma, or infection. When a left ventricular pseudoaneurysm is detected, surgical repair is recommended due to the high possibility of rupture. In this report, we present surgical treatment of a gi...

The mortality of postinfarction left ventricular free wall rupture is still high. Several surgical techniques have been used for repairing such ruptures. Here, we describe using an infarction exclusion technique to successfully treat a case of a blow-out type postinfarction left ventricular free wall rupture. This technique has frequently been used for repairing postinfarction ventricular septa...

BACKGROUND Blunt thoracic trauma can rarely result in coronary artery injury. Blunt trauma can result in occlusion of any of the coronary arteries or can lead to its rupture and bleeding. Traumatic coronary artery occlusion can lead to myocardial infarction, while its rupture and bleeding can result in hemopericardium and cardiac tamponade, and can be rapidly fatal. Survival after coronary arte...

BACKGROUND Cardiac rupture often occurs after myocardial infarction or chest trauma with a high mortality rate. However, left ventricular rupture caused by radiofrequency catheter ablation (RFCA) is extremely rare. METHODS We describe a case of a 61-year-old male who survived from left ventricular rupture caused by a RFCA procedure for frequent ventricular premature contractions. Surgical exp...

ATRIAL rupture of the heart is a dramatic event which leads inevitably to death. This paper reports the only case of atrial rupture among 5,900 autopsies at the Albany Hospital and summarizes the pertinent literature on atrial rupture as to etiology, diagnosis, pathologic physiology, sex, age, and treatment. A total of 79 cases of atrial rupture has been collected from the literature, classifie...

Inflammation and hemostasis are key processes in the pathogenesis of atherosclerotic cardiovascular disease (1,2). Vascular inflammation in response to lipid depositions causes formation of atherosclerotic plaques (1). In addition, inflammation in existing plaques is the primary process responsible for progression toward a phenotype that is vulnerable to rupture and thereby causing acute events...

SUMMARY Two dimensional echocardiography showed partial rupture of the trunk of the posteromedial papillary muscle after acute inferior myocardial infarction. The findings in this case suggest that partial rupture may be a harbinger of complete rupture. By virtue of its ability to visualise noninvasively detailed anatomy of cardiac structures in real-time format, two dimensional echocardiograph...

Inflammation and hemostasis are key processes in the pathogenesis of atherosclerotic cardiovascular disease (1,2). Vascular inflammation in response to lipid depositions causes formation of atherosclerotic plaques (1). In addition, inflammation in existing plaques is the primary process responsible for progression toward a phenotype that is vulnerable to rupture and thereby causing acute events...

BACKGROUND Cardiac rupture after acute myocardial infarction (AMI) is unpredictable and almost always fatal, so the present study reviewed all the clinical characteristics of patients with cardiac rupture to determine if its occurrence can be predicted. METHODS AND RESULTS The clinical characteristics of 1,296 consecutive AMI patients from January 1992 to February 2002 were retrospectively ev...

A 74-year-old male patient was admitted to our emergency department with post-MI angina. On account of the anginal complaint that continued for three days, a coronary artery angiography was undertaken. A percutaneous transluminal coronary angioplasty was performed, followed by the implantation of a coronary stent, and coronary perfusion (TIMI-3) was achieved in the left anterior descending arte...