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Document Details : Title: Cardiac pseudoaneurysm coupled with a rupture of the papillary muscle complicating myocardial infarction Author(s): HARADA, Tomohiro , IDA, Takao , TAKANO, Teruo Journal: Acta Cardiologica Volume: 57 Issue: 6 Date: December 2002 Pages: 435-437 DOI: 10.2143/AC.57.6.2005469 Abstract : As a complication of myocardial infarction, dual rupture of the left ventricular myocardium and the papillary muscle is a rare condition.In such a case,the heart is predisposed to reduced output because of unloading of the ventricle during systole, resulting in the patient being in danger of deteriorating into a severe state or dying suddenly from cardiogenic shock.We report a rescued case of a 65-year-old woman, who had cardiogenic shock due to left ventricular pseudoaneurysm, coupled with partial rupture of the posteromedial papillary muscle three weeks after posterior myocardial infarction. Emergent left ventriculography revealed a large aneurysmal cavity and regurgitation towards the left atrium.The patient underwent emergent aneurysmectomy with mitral valve replacement. |
