Left ventricular free wall rupture during coronary intervention after acute myocardial infarction: Report of two cases exhibiting fatal pseudocomplications

Papaleo, Raphael; Depowski, Peter L.; Dincer, Ayse D.; Houghton, Jan L.

doi:10.1002/(sici)1522-726x(199905)47:1<67::aid-ccd16>3.0.co;2-0

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…The risk of mortality is low at approximately 0.2%. Cardiac arrhythmias, coronary artery dissection, cardiac perforation, and infection may occur [52][53][54][55][56][57] and review of the angiography tapes with the cardiologist before necropsy is essential to identify areas of interest.…”

Section: Cardiac Catheters and Angioplastymentioning

confidence: 99%

Acp. Best practice no 155. Pathological investigation of deaths following surgery, anaesthesia, and medical procedures.

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Cross

1999

J Clin Pathol

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The pathological investigation of deaths following surgery, anaesthesia, and medical procedures is discussed. The definition of "postoperative death" is examined and the classification of deaths following procedures detailed. The review of individual cases is described and the overall approach to necropsy and interpretation considered. There are specific sections dealing with the cardiovascular system (including air embolism, perioperative myocardial infarction, cardiac pacemakers, central venous catheters, cardiac surgery, heart valve replacement, angioplasty, and vascular surgery); respiratory system (postoperative pneumonia, pulmonary embolism, pneumothorax); central nervous system (dissection of cervical spinal cord), hepatobiliary and gastrointestinal system; musculoskeletal system; and head and neck region. Deaths associated with anaesthesia are classified and the specific problems of epidural anaesthesia and malignant hyperthermia discussed. The article concludes with a section on the recording of necropsy findings and their communication to clinicians and medicolegal authorities. (J Clin Pathol 1999;52:640-652)

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Section: Cardiac Catheters and Angioplastymentioning

confidence: 99%

Acp. Best practice no 155. Pathological investigation of deaths following surgery, anaesthesia, and medical procedures.

Start

Cross

1999

J Clin Pathol

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Ventricular septal rupture masquerading as coronary perforation during intervention for acute myocardial infarction

Kawamura¹,

Asakura²,

Shin³

et al. 2004

Cathet Cardio Intervent

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Complete rupture of the posterior papillary muscle caused by late reperfusion for acute myocardial infarction

Kamohara

Yoshikai

Murayama

2006

Jpn J Thorac Caridovasc Surg

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We describe a patient with acute mitral regurgitation due to complete rupture of the papillary muscle immediately after successful late reperfusion for inferior myocardial infarction. An 81-year-old woman was admitted complaining of mild chest discomfort. Although the electrocardiograms, biochemical test results, and her clinical history showed that several days had passed since the onset of acute myocardial infarction, a late coronary stenting was performed. Immediately after successful stenting, she suddenly developed acute pulmonary edema, leading to cardiogenic shock. In addition to high pulmonary capillary wedge pressure (mean 35 mmHg), color Doppler imaging revealed massive mitral regurgitation caused by complete rupture of the posterior papillary muscle. Emergent mitral valve replacement with a prosthetic valve was performed, saving the patient. Hence, late reperfusion should be considered carefully when treating a patient with a high risk, such as an elderly patient or a patient with single-vessel disease or initial transmural myocardial infarction.

show abstract

Left ventricular free wall rupture during coronary intervention after acute myocardial infarction: Report of two cases exhibiting fatal pseudocomplications

Cited by 3 publications

References 14 publications

Acp. Best practice no 155. Pathological investigation of deaths following surgery, anaesthesia, and medical procedures.

Acp. Best practice no 155. Pathological investigation of deaths following surgery, anaesthesia, and medical procedures.

Ventricular septal rupture masquerading as coronary perforation during intervention for acute myocardial infarction

Complete rupture of the posterior papillary muscle caused by late reperfusion for acute myocardial infarction

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