PMID- 32808602
OWN - NLM
STAT- MEDLINE
DCOM- 20220301
LR  - 20220301
IS  - 1804-7521 (Electronic)
IS  - 1213-8118 (Linking)
VI  - 165
IP  - 4
DP  - 2021 Nov
TI  - Post-infarction left ventricular free wall rupture: 12-years experience from the 
      Cardiac Centre of the Institute of Clinical and Experimental Medicine in Prague, 
      Czech Republic.
PG  - 408-415
LID - 10.5507/bp.2020.022 [doi]
AB  - BACKGROUND: Post-infarction left ventricular free wall rupture (LVFWR) is a 
      feared and catastrophic complication of myocardial infarction that carries a high 
      surgical and hospital mortality. Due to the rarity of this complication, little 
      information exists on surgical treatment and outcomes. Goal and Methods. The goal 
      of this study was to present our experience with LVFWR. We present a 
      retrospective cohort of 19 consecutive patients who were surgically treated in 
      the Cardiac Centre of the Institute of Clinical and Experimental Medicine in 
      Prague between January 2006 and December 2017. RESULTS: Thirty-day mortality was 
      26%. Five patients died. Four patients died in the operating theatre and one 
      patient on the ninth postoperative day following re-rupture. Seventy-four percent 
      of the patient cohort survived and were discharged from hospital. The median 
      length of follow-up was 45 months (range 0.75-150). No patient died during 
      follow-up. Median postoperative ejection fraction was 45% (range 25-65%). Angina 
      pectoris and dyspnea were investigated during follow-up and graded according to 
      the Canadian cardiology society (CCS) and the New York Heart Association (NYHA) 
      classifications. Fourteen patients had CCS class I, eight patients had NYHA class 
      I dyspnea and six patients had NYHA class II. Re-rupture occurred after hospital 
      discharge in one patient one month after the original surgery. The patient was 
      treated successfully by urgent surgical intervention. CONCLUSION: LVFWR is a 
      catastrophic and challenging complication of myocardial infarction. Good outcomes 
      can be achieved by rapid diagnosis and urgent surgical intervention as shown by 
      our results.
FAU - Kacer, Petr
AU  - Kacer P
AD  - Department of Cardiac Surgery, University Hospital Kralovske Vinohrady, Third 
      Faculty of Medicine, Charles University, Prague, Czech Republic.
AD  - Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, Czech 
      Republic.
FAU - Adamkova, Vera
AU  - Adamkova V
AD  - Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, Czech 
      Republic.
FAU - Hubacek, Jaroslav Alois
AU  - Hubacek JA
AD  - Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, Czech 
      Republic.
FAU - Cervinkova, Tereza
AU  - Cervinkova T
AD  - Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, Czech 
      Republic.
FAU - Adamek, Vaclav
AU  - Adamek V
FAU - Kralova Lesna, Ivana
AU  - Kralova Lesna I
AD  - Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, Czech 
      Republic.
FAU - Lanska, Vera
AU  - Lanska V
AD  - Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, Czech 
      Republic.
FAU - Pirk, Jan
AU  - Pirk J
AD  - Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, Czech 
      Republic.
LA  - eng
PT  - Journal Article
DEP - 20200818
PL  - Czech Republic
TA  - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub
JT  - Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, 
      Czechoslovakia
JID - 101140142
SB  - IM
MH  - *Biomedical Research
MH  - Canada
MH  - Czech Republic/epidemiology
MH  - Dyspnea
MH  - *Heart Rupture
MH  - *Heart Rupture, Post-Infarction/diagnostic imaging/etiology/surgery
MH  - Humans
MH  - *Myocardial Infarction
MH  - Retrospective Studies
OTO - NOTNLM
OT  - acute myocardial infarction
OT  - myocardial rupture
OT  - ventricular wall
EDAT- 2020/08/19 06:00
MHDA- 2022/03/03 06:00
CRDT- 2020/08/19 06:00
PHST- 2020/03/12 00:00 [received]
PHST- 2020/05/06 00:00 [accepted]
PHST- 2020/08/19 06:00 [pubmed]
PHST- 2022/03/03 06:00 [medline]
PHST- 2020/08/19 06:00 [entrez]
AID - 10.5507/bp.2020.022 [doi]
PST - ppublish
SO  - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2021 Nov;165(4):408-415. 
      doi: 10.5507/bp.2020.022. Epub 2020 Aug 18.