Cardiogenic shock due to ventricular rupture. A surgical approach

G. V.S. Parr, Walter Pae, W. S. Pierce, Robert Zelis

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Following a posterolateral myocardial infarction, a 57-year-old man developed severe shock which did not respond to catecholamine infusion and intra-aortic balloon counterpulsation. Implantation of a left ventricular assist pump was planned, but at sternotomy free ventricular rupture was identified and repaired. Repair of free-wall ventricular rupture is uncommon because of infrequent antemortem diagnosis. A more aggressive surgical approach of instituting left ventricular assist pumping in those patients with cardiogenic shock refractory to medical therapy and intra-aortic balloon punping should yield the additional benefit of repair of the rather common but rarely recognized lesion of ventricular rupture.

Original languageEnglish (US)
Pages (from-to)889-891
Number of pages3
JournalJournal of Thoracic and Cardiovascular Surgery
Volume82
Issue number6
StatePublished - Dec 1 1981

Fingerprint

Cardiogenic Shock
Rupture
Heart Rupture
Counterpulsation
Sternotomy
Catecholamines
Shock
Myocardial Infarction
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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Cardiogenic shock due to ventricular rupture. A surgical approach. / Parr, G. V.S.; Pae, Walter; Pierce, W. S.; Zelis, Robert.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 82, No. 6, 01.12.1981, p. 889-891.

Research output: Contribution to journalArticle

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