Cardiogenic shock due to ventricular rupture. A surgical approach

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

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

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
DOIs
StatePublished - 1981

All Science Journal Classification (ASJC) codes

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

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