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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
Rupture of left ventricular myocardial wall with ensuing communication between left ventricular cavity and pericardial space
Usually seen in setting of acute myocardial infarction
Often accompanied by acute hemodynamic deterioration or electromechanic dissociation
May be contained if inflammatory pericardium seals rupture
3 forms of rupture
Acute: Acute tamponade with sudden electromechanical dissociation or severe hypotension
Subacute: Moderate to severe pericardial effusion
With tamponade and hemodynamic compromise
With modest or progressive hypotension
Without tamponade
Chronic: Incidental detection of contained rupture in long-term interval following myocardial infarction
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Formica F et al: Postinfarction left ventricular free wall rupture: a 17-year single-centre experience. Eur J Cardiothorac Surg. 53(1):150-6, 2018
Mujanovic E et al: Surgical treatment of left ventricular pseudoaneurysm. Med Arch. 68(3):215-7, 2014
Haddadin S et al: Surgical treatment of postinfarction left ventricular free wall rupture. J Card Surg. 24(6):624-31, 2009
Figueras J et al: Left ventricular free wall rupture: clinical presentation and management. Heart. 83(5):499-504, 2000
Becker RC et al: A composite view of cardiac rupture in the United States National Registry of Myocardial Infarction. J Am Coll Cardiol. 27(6):1321-6, 1996
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
Rupture of left ventricular myocardial wall with ensuing communication between left ventricular cavity and pericardial space
Usually seen in setting of acute myocardial infarction
Often accompanied by acute hemodynamic deterioration or electromechanic dissociation
May be contained if inflammatory pericardium seals rupture
3 forms of rupture
Acute: Acute tamponade with sudden electromechanical dissociation or severe hypotension
Subacute: Moderate to severe pericardial effusion
With tamponade and hemodynamic compromise
With modest or progressive hypotension
Without tamponade
Chronic: Incidental detection of contained rupture in long-term interval following myocardial infarction
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Formica F et al: Postinfarction left ventricular free wall rupture: a 17-year single-centre experience. Eur J Cardiothorac Surg. 53(1):150-6, 2018
Mujanovic E et al: Surgical treatment of left ventricular pseudoaneurysm. Med Arch. 68(3):215-7, 2014
Haddadin S et al: Surgical treatment of postinfarction left ventricular free wall rupture. J Card Surg. 24(6):624-31, 2009
Figueras J et al: Left ventricular free wall rupture: clinical presentation and management. Heart. 83(5):499-504, 2000
Becker RC et al: A composite view of cardiac rupture in the United States National Registry of Myocardial Infarction. J Am Coll Cardiol. 27(6):1321-6, 1996
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