Left ventricular free wall rupture possibly induced by coronary spasm. Surgical repair in the emergency room.

被引：0

作者：

Shigemitsu O. ^{[1
]}

Hadama T. ^{[1
]}

Miyamoto S. ^{[1
]}

Anai H. ^{[1
]}

Sako H. ^{[1
]}

Wada T. ^{[1
]}

机构：

[1] Emergency Center and Cardiovascular Surgery, Oita Medical University, 1-1 Hasama-machi, Oita

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2001年 / 49卷 / 7期

关键词：

coronary thrombosis; coronary spasm; heart rupture; myocardial infarction; mental stress;

D O I：

10.1007/BF02913914

中图分类号：

学科分类号：

摘要：

A 68-year-old woman complained of chest discomfort after a traffic accident in which she driving hit a child. At about twenty-five minutes later, she went into sudden cardiogenic shock due to acute myocardial infarction caused by non-occlusive intracoronary thrombosis without significant organic coronary stenosis and without any sign of extraluminal contrast pooling on coronary angiography. She was transported to our emergency room by ambulance because of cardiac tamponade caused by a left ventricular free wall rupture following the acute myocardial infarction. On arrival, she was near cardio-pulmonary arrest on intraaortic balloon pumping. We performed emergency open cardiac massage and pericardiotomy. The hairline perforation responsible for the blowout-type left ventricular free wall rupture was successfully closed with Teflon-reinforced sutures. In conclusion, it was strongly suspected that the present case of left ventricular free wall rupture was caused by acute myocardial infarction due to intracoronary thrombosis following coronary spasm without significant organic coronary stenosis or rupture of atheromatous plaque.

引用

页码：461 / 465

页数：4

共 49 条

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