KMID : 0882420160900030234
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Korean Journal of Medicine 2016 Volume.90 No. 3 p.234 ~ p.238
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Successful Healing of the Myocardial Rupture Complicated by the Occlusion of a Single Diagonal Branch
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À¯¿µÁö:Yu Yeong-Ji
ÃÖ¿µ:Choi Young/±è±³Èñ:Kim Gyo-Hui/±èÅÂÈÆ:Kim Tae-Hoon
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Abstract
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Myocardial rupture is a rare but lethal complication of myocardial infarction. Immediate conservative management is critical, but surgery should be considered if the patient¡¯s hemodynamic state and degree of hemopericardium do not improve after pericardiocentesis. In this case, a 54-year old patient without underlying disease came to the emergency after experiencing chest pain for two weeks with suddenly aggravated severe dyspnea. The patient was found to have a hemopericardium with cardiac tamponade, so pericardiocentesis was immediately executed. Transthoracic echocardiogram revealed akinesia of the left ventricular muscle and focal wall thinning. The patient was diagnosed with complete occlusion of a single diagonal branch and ventricular free wall rupture using a coronary computed tomography scan. After conservative treatment, vital signs and cardiac function stabilized, and there was no definitive sequela. This case is clinically significant because myocardial rupture, a lethal complication of myocardial infarction, was successfully managed with non-surgical, conservative treatment.
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KEYWORD
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Heart rupture, Myocardial infarction, Cardiac tamponade, Coronary occlusion
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