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Double cardiac rupture after direct infarct coronary angioplasty: report of a case.

Authors
  • Dudra, J
  • Okamoto, F
  • Sasaki, S
  • Sakai, K
  • Yasuda, K
Type
Published Article
Journal
Surgery today
Publication Date
Jan 01, 1998
Volume
28
Issue
11
Pages
1203–1205
Identifiers
PMID: 9851635
Source
Medline
License
Unknown

Abstract

The occurrence of double cardiac rupture (DCR) after a successful direct infarct coronary angioplasty (DICA) is extremely uncommon. We describe herein the case of a patient who underwent delayed DICA and despite successful recanalization, subsequently suffered DCR, as a postinfarction ventricular septal defect (PIVSD) with left ventricular free wall rupture (LVFWR). Emergency surgery was performed, and the patient is now doing well more than 2 years after his operation. The possible mechanisms of DCR after delayed DICA are discussed following the presentation of this unusual case.

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