Unusual form of cardiac rupture: Sealed subacute left ventricular free wall rupture, evolving to intramyocardial dissecting hematoma and to pseudoaneurysm formation - A case report and review of the literature

David Harpaz, Michael Kriwisky, Amram J. Cohen, Benjamin Medalion, Yoseph Rozenman

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

This report describes an unusual course of rupture of the left ventricular free wall, complicating acute myocardial infarction. Spontaneous sealing of the rupture site enabled close echocardiographic follow-up, during which we monitored the development of intramyocardial dissecting hematoma and, finally, development of a full tear in the left ventricular free wall, leading to the formation of a pseudoaneurysm. The pathophysiology, management, and diagnostic criteria of these processes are being revised.

Original languageEnglish
Pages (from-to)219-227
Number of pages9
JournalJournal of the American Society of Echocardiography
Volume14
Issue number3
DOIs
StatePublished - Mar 2001
Externally publishedYes

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