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Ann Thorac Surg 1976;21:175-179
© 1976 The Society of Thoracic Surgeons

Articles

Survival Following Free Rupture of Left Ventricular Aneurysm: Report of a Case

Ronald M. Abel, M.D., Mortimer J. Buckley, M.D.*, Allan L. Friedlich, M.D., W. Gerald Austen, M.D.

From the Surgical Cardiovascular Unit, General Surgical Services, Massachusetts General Hospital, and the Department of Surgery, Harvard Medical School, Boston, MA.

Accepted for publication March 12, 1975.

* Address reprint requests to Dr. Buckley, Surgical Cardiovascular Unit, Massachusetts General Hospital, Boston, MA 02114

A 50-year-old man sustained free rapture of the left ventricle four weeks following a massive anterior myocardial infarction. The rupture occurred at the junction between a bulging left ventricular aneurysm that was not yet fibrotic and normal myocardium without evidence of fresh myocardial infarction. Accurate preoperative diagnosis aided by echocardiography and right heart catheterization made possible a planned surgical approach. Postoperative support with intraaortic balloon pumping appeared to be beneficial in maintaining satisfactory cardiac function until an adequate stroke volume could be reestablished, presumably by an increase in left ventricular volume.




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