CASE REPORT

Contained myocardial rupture: a variant linking complete and incomplete rupture

T A Helmy¹, W J Nicholson¹, S Lick², B F Uretsky²

¹ Emory University, Atlanta, Georgia, USA
² University of Texas, Galveston, Texas, USA

Correspondence to:
Correspondence to:
Dr Tarek A Helmy
Division of Cardiology, Emory University, 1639 Pierce Drive, Atlanta, Georgia 30322, USA; thelmy{at}emory.edu

Myocardial rupture is an uncommon complication of myocardial infarction, often with devastating haemodynamic consequences. Although rupture is usually fatal, when patients do survive, the majority present with a pseudoaneurysm in which the rupture is sealed by a haematoma on the epicardial surface of the heart. Cases in which all myocardial layers are dissected except the epicardium or visceral pericardium have been included under this subheading. The authors describe such a case and suggest the pathological description of a "contained myocardial rupture". This link between complete and incomplete myocardial rupture may allow a more conservative management approach to be pursued.

Keywords: cardiac rupture; free wall rupture; myocardial infarction; pseudoaneurysm

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Heart Online case reports: www.heartjnl.com
Heart 2005 91: 170. [Extract] [Full Text] [PDF]

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