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The Annals of Thoracic Surgery, Vol 57, 1333-1335, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

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

M Komeda and LL Mickleborough
Department of Surgery, University of Toronto, Ontario, Canada.

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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