Cor Vasa 2018, 60(5):e556-e559 | DOI: 10.1016/j.crvasa.2017.06.006
Acute tamponade due to postinfarction myocardial rupture successfully managed with urgent pericardiotomy
- a Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian 351100, China
- b Department of Cardiology, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian 351100, China
- c Department of Anesthesiology, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian 351100, China
Postinfarction myocardial rupture is rare and fatal. A 60-year-old female developed hemodynamic collapse after 2-h acute precordial pains. Acute tamponade and cardiogenic shock were confirmed. The patient underwent urgent pericardiotomy under the aid of intraaortic balloon pump and inotropic infusions. The differential diagnosis of acute chest pain is important. An early diagnosis and prompt surgical intervention of acute tamponade are crucial for rescuing the patient.
Keywords: Acute myocardial infarction; Cardiac tamponade; Heart rupture; Pericardiotomy
Received: January 14, 2017; Revised: March 28, 2017; Accepted: June 12, 2017; Published: October 1, 2018 Show citation
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Yuan S, Chen J, Yu Y, Lin L, Fang X, Lin J. Acute tamponade due to postinfarction myocardial rupture successfully managed with urgent pericardiotomy. Cor Vasa. 2018;60(5):e556-559. doi: 10.1016/j.crvasa.2017.06.006.
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