Myocardial rupture after myocardial infarction. Detection by multi-gated image-acquisition scintigraphy

Pascal Nicod, James Corbett, Richard Leachman, Philip H. Croyle, Sanford Reich, Ronald M Peshock, Robert Farkas, Robert Rude, L. Maximilian Buja, Lawrence Mills, Samuel E. Lewis, James T. Willerson

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Myocardial rupture following infarction usually is an acute and dramatic event. Rarely, it may take a subacute course, allowing surgical treatment. We report herein a case of subacute rupture of the heart in a 54 year old patient with acute myocardial infarction. The rupture was diagnosed by the appearance of a radiopaque halo around the heart during radionuclide ventriculography. The patient subsequently underwent surgical resection of a large anterolateral aneurysm and a 2 inch long rupture of the myocardium and survived. Clinical suspicion, prompt diagnosis, and surgical intervention are important in the management of this relatively unusual complication of infarction.

Original languageEnglish (US)
Pages (from-to)765-768
Number of pages4
JournalThe American Journal of Medicine
Volume73
Issue number5
DOIs
StatePublished - Nov 1982

ASJC Scopus subject areas

  • General Medicine

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