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  • Title: Unusual form of cardiac rupture: sealed subacute left ventricular free wall rupture, evolving to intramyocardial dissecting hematoma and to pseudoaneurysm formation--a case report and review of the literature.
    Author: Harpaz D, Kriwisky M, Cohen AJ, Medalion B, Rozenman Y.
    Journal: J Am Soc Echocardiogr; 2001 Mar; 14(3):219-27. PubMed ID: 11241018.
    Abstract:
    This report describes an unusual course of rupture of the left ventricular free wall, complicating acute myocardial infarction. Spontaneous sealing of the rupture site enabled close echocardiographic follow-up, during which we monitored the development of intramyocardial dissecting hematoma and, finally, development of a full tear in the left ventricular free wall, leading to the formation of a pseudoaneurysm. The pathophysiology, management, and diagnostic criteria of these processes are being revised.
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