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KMID : 0368119990290010073
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Korean Circulation Journal
1999 Volume.29 No. 1 p.73 ~ p.78
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A Case of Early Developed Left Ventricular Free Wall Rupture Followed by Acute Inferior Myocardial Infarction
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1박승철/1Seung Chul Park
1김재한/1김영민/1곽선영/1윤병옥/1오흥석/1오명진/1김완섭/1이진우/1현민수/1김성구/1권영주/2정윤섭/2염욱/1Jae Han Kim/1Young Min Kim/1Sun Young Kwak/1Buyng Ok Yoon/1Hung Sok Oh/1Myung Jin Oh/1Wan Sup Kim/1Jin Woo Lee/1Min Su Hyon/1Sung Koo Kim/1Young Joo
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Abstract
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Myocardial free wall rupture is the most serious complication of acute myocardial
infarction. Although it is not uncommon, it is difficult to treat successfully. We report a
case of acute inferior myocardial infarction complicated with left ventricular free wall
rupture that occurred 8 hours after onset of chest pain. In this case, progression of mild
pericardial effusion to cardiac tamponade was monitored by transthoracic
echocardiography. Pericardiocentesis and drainage failed to treat cardiac tamponade, and
surgical repair was performed successfully. The patient discharged patient discharged
uneventfully on 28th day and followed regularly at the outpatient department.
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