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POST–INFARCTION CARDIAC RUPTURE
Author(s) -
Windsor Harry M.,
Shanahan Mark X.,
Chang Victor P.
Publication year - 1976
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1976.tb115444.x
Subject(s) - medicine , cardiology , cardiac tamponade , myocardial infarction , pseudoaneurysm , shock (circulatory) , cardiac rupture , infarction , heart rupture , tamponade , surgery , complication
Three allied conditions are described in this paper: (i) haemopericardium with cardiac rupture (5 cases); (if) haemopericardium without rupture (2 cases); (iii) pseudoaneurysm (1 case). In the first 2 of these, the significant features were clinical deterioration with shock 3 or more days after infarction, recurrent cardiac pain, cardiac tamponade, and immediate or later ineffectiveness of counterpulsation. An additional feature in the second group was the development of haemopericardium after heparin therapy. In the third group, infarction followed by left ventricular failure and progressive cardiac enlargement was the significant feature. An apical systolic murmur was not present, as a false sac had not been formed. Ante‐mortem diagnosis depends upon an appreciation of these features. Without it successful surgery is impossible. There were 4 survivors in this group of 8 patients.