The Surgical Management of all the Mechanical Complications of Myocardial Infarction in the Same Patient

1985 ◽  
Vol 6 (01) ◽  
pp. 53-54 ◽  
Author(s):  
L. Lukács ◽  
M. Keltai ◽  
A. Szente ◽  
A. Arvay
Keyword(s):  
Myocardial Infarction ◽  
Surgical Management ◽  
Mechanical Complications ◽  
Complications Of Myocardial Infarction

Mechanical complications of myocardial infarction

2021 ◽  
pp. 513-530
Author(s):  
Elena Puerto ◽  
Héctor Bueno
Keyword(s):  
Myocardial Infarction ◽  
Imaging Techniques ◽  
Reperfusion Therapy ◽  
Advanced Heart Failure ◽  
Papillary Muscle Rupture ◽  
Mechanical Complications ◽  
Asymptomatic Patients ◽  
Muscle Rupture ◽  
Severe Hypotension ◽  
Complications Of Myocardial Infarction

Mechanical complications of acute myocardial infarction are those caused by ruptures or geometrical distortions of cardiac structures. Cardiac ruptures are currently rare complications, less than 1% in the era of reperfusion therapy, but often with catastrophic consequences, and include free wall rupture, the most frequent, interventricular septal rupture, and papillary muscle rupture. The clinical presentation may vary from unusually milder presentations to sudden presentation with severe hypotension, cardiogenic shock or electro-mechanical dissociation. Therefore, immediate diagnosis is key, generally by echocardiography, followed by resuscitation and/or hemodynamic support, pharmacological or mechanical. In the majority of cases, these complications require urgent surgical repair. In some cases percutaneous therapies may be a valid alternative. Mechanical complications due to geometrical distortion include functional ischemic mitral regurgitation, ventricular aneurysms and intraventricular thrombosis. These complications are more frequent than ruptures and, in general, less severe, ranging from accidental findings by imaging techniques in asymptomatic patients to advanced heart failure. Most often these complications can be treated medically and occasionally may need surgical therapy.

Surgical Management of Complications of Myocardial Infarction

1973 ◽  
Vol 57 (1) ◽  
pp. 205-218 ◽  
Author(s):  
Hassan Najafi ◽  
Cyrus Serry ◽  
William S. Dye ◽  
Hushang Javid ◽  
James A. Hunter ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Surgical Management ◽  
Management Of Complications ◽  
Complications Of Myocardial Infarction
Sign in / Sign up

Export Citation Format

Share Document