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Ann Thorac Surg 1994;57:1333-1335
© 1994 The Society of Thoracic Surgeons

Articles

"Concealed" rupture of the left ventricle: Successful surgical repair

Masashi Komeda, MD, Lynda L. Mickleborough, MD*

Division of Cardiovascular Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada

Accepted for publication August 17, 1993.

* Address reprint requests to Dr Mickleborough, The Toronto Hospital, EN 13-217. 200 Elizabeth St, Toronto, Ont, Canada M5G 2C4.

A 70-year-old woman with a history of angina and hypertension presented with a large anterior infarct complicated by rupture and tamponade. Angiography showed triple-vessel disease and a large anteroapical aneurysm. Operative findings included extensive dissection of the septum and rupture of the right ventricular free wall. The patient survived the operation, which included replacement of the left ventricular free wall, extensive patching of the septum, and plication of the infarcted right ventricle.




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