PMID- 32418961
OWN - NLM
STAT- MEDLINE
DCOM- 20200605
LR  - 20200605
IS  - 1349-3299 (Electronic)
IS  - 1349-2365 (Linking)
VI  - 61
IP  - 3
DP  - 2020 May 30
TI  - Surviving Case of a Blowout-Type Left Ventricular Free Wall Rupture During 
      Percutaneous Coronary Intervention for a Lateral Acute Myocardial Infarction.
PG  - 606-610
LID - 10.1536/ihj.19-495 [doi]
AB  - A 76-year-old man suffering from chest pain was admitted to our hospital with a 
      suspected acute myocardial infarction (AMI). Emergent coronary angiography 
      revealed a totally occluded proximal left circumflex artery (LCX). During primary 
      percutaneous coronary intervention, his blood pressure suddenly fell within 
      seconds, and he developed pulseless electrical activity (PEA). Surprisingly, the 
      12-lead electrocardiogram (ECG) findings including the heart rate remained 
      unchanged before and after the PEA, but a heart rate reduction and asystole 
      occurred a few minutes after developing PEA. After tracheal intubation and 
      mechanical assistance by venoarterial extracorporeal membrane oxygenation 
      (VA-ECMO), the sudden onset of PEA appeared to be caused by cardiac tamponade due 
      to a blowout-type left ventricular free wall rupture (BO-LVFWR) diagnosed by 
      transthoracic echocardiography. While pericardiocentesis was performed and the 
      drained blood was directly continuously perfused intravenously to keep the 
      VA-ECMO flow, the patient was moved to the operation room. The surgical findings 
      revealed a solitary BO-LVFWR due to a lateral AMI, and a direct closure was 
      performed. Successful perioperative management, oral medication administration, 
      and rehabilitation lead to the patient being transferred to a rehabilitation 
      hospital without any serious cerebral damage. This case report suggested the 
      detailed onset pattern of a BO-LVFWR followed by a rapid diagnosis by 
      echocardiography and lifesaving treatment.
FAU - Arai, Riku
AU  - Arai R
AD  - Division of Cardiology, Department of Medicine, Nihon University School of 
      Medicine.
FAU - Fukamachi, Daisuke
AU  - Fukamachi D
AD  - Division of Cardiology, Department of Medicine, Nihon University School of 
      Medicine.
FAU - Akutsu, Naotaka
AU  - Akutsu N
AD  - Division of Cardiology, Department of Medicine, Nihon University School of 
      Medicine.
FAU - Tanaka, Masashi
AU  - Tanaka M
AD  - Department of Cardiovascular Surgery, Nihon University School of Medicine.
FAU - Okumura, Yasuo
AU  - Okumura Y
AD  - Division of Cardiology, Department of Medicine, Nihon University School of 
      Medicine.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20200515
PL  - Japan
TA  - Int Heart J
JT  - International heart journal
JID - 101244240
RN  - 0 (Anticonvulsants)
SB  - IM
MH  - Aged
MH  - Anticonvulsants/therapeutic use
MH  - Heart Rupture, Post-Infarction/*diagnosis/surgery
MH  - Humans
MH  - Hypoxia, Brain/complications
MH  - Intraoperative Complications/*diagnosis/surgery
MH  - Male
MH  - Myocardial Infarction/*surgery
MH  - *Percutaneous Coronary Intervention
MH  - Postoperative Complications/etiology/therapy
MH  - Rupture, Spontaneous/diagnosis/surgery
MH  - Seizures/etiology/therapy
OTO - NOTNLM
OT  - Continuous vital sign monitoring
OT  - Mechanical circulatory support
OT  - Transthoracic echocardiography
EDAT- 2020/05/19 06:00
MHDA- 2020/06/06 06:00
CRDT- 2020/05/19 06:00
PHST- 2020/05/19 06:00 [pubmed]
PHST- 2020/06/06 06:00 [medline]
PHST- 2020/05/19 06:00 [entrez]
AID - 10.1536/ihj.19-495 [doi]
PST - ppublish
SO  - Int Heart J. 2020 May 30;61(3):606-610. doi: 10.1536/ihj.19-495. Epub 2020 May 
      15.