Presentation with pulsatile xiphisternal bruise—Survival with a chronic ventricular rupture

Pinto, Nigel, Platts, David, Thomson, Bruce and Fraser, John (2011) Presentation with pulsatile xiphisternal bruise—Survival with a chronic ventricular rupture. Heart, Lung and Circulation, 20 2: 132-135. doi:10.1016/j.hlc.2010.09.002

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Author Pinto, Nigel
Platts, David
Thomson, Bruce
Fraser, John
Title Presentation with pulsatile xiphisternal bruise—Survival with a chronic ventricular rupture
Journal name Heart, Lung and Circulation   Check publisher's open access policy
ISSN 1443-9506
Publication date 2011-02-01
Sub-type Article (original research)
DOI 10.1016/j.hlc.2010.09.002
Volume 20
Issue 2
Start page 132
End page 135
Total pages 4
Place of publication Australia
Publisher Elsevier Australia
Collection year 2012
Language eng
Abstract Ventricular free wall rupture is an acute, severe complication of myocardial infarction (MI). Accounting for 20-30% of MI mortality, ventricular rupture is fatal if not detected early and repaired surgically. The unique case of a delayed, chronic rupture is reported in a 64 year-old male who presented with a painless, pulsatile, sub-xiphisternal bruise, five years post MI. Trans-thoracic echocardiography (TTE) revealed haematoma extending posteriorly with only contrast echocardiography revealing an active communication between the sub-dermal area and the heart. Urgent surgery and a prolonged period in ICU enabled sufficient enough recovery for discharge. © 2010.
Keyword Cardiac surgery
Delayed
Echocardiogram
Left ventricle
Rupture
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Thu, 17 Mar 2011, 01:31:52 EST by Debbie Banks on behalf of School of Medicine