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Ann Thorac Surg 1987;44:413-415
© 1987 The Society of Thoracic Surgeons

Articles

Left Ventricular Rupture Following Coronary Occlusion Treated by Streptokinase Infusion: Successful Surgical Repair

Mark Stiegel, M.D., Samuel H. Zimmern, M.D., Francis Robicsek, M.D.

From the Department of Thoracic and Cardiovascular Surgery, the Department of Cardiology, and the Heineman Medical Research Laboratory at Charlotte Memorial Hospital and Medical Center, Charlotte, NC

Accepted for publication December 12, 1986.

A 68-year-old man suffered a myocardial infarction and was treated initially with streptokinase infusion, followed by coronary balloon angioplasty. Six hours later he suffered rupture of the free wall of the left ventricle, pericardial tamponade, and cardiac arrest. He was treated successfully by cardiac resuscitation, patch closure of the perforation, and coronary bypass grafting.




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