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  • Title: Myocardial rupture after myocardial infarction. Detection by multi-gated image-acquisition scintigraphy.
    Author: Nicod P, Corbett J, Leachman R, Croyle PH, Reich S, Peshock R, Farkas R, Rude R, Buja LM, Mills L, Lewis SE, Willerson JT.
    Journal: Am J Med; 1982 Nov; 73(5):765-8. PubMed ID: 7137205.
    Abstract:
    Myocardial rupture following infarction usually is an acute and dramatic event. Rarely, it may take a subacute course, allowing surgical treatment. We report herein a case of subacute rupture of the heart in a 54 year old patient with acute myocardial infarction. The rupture was diagnosed by the appearance of a radiopaque halo around the heart during radionuclide ventriculography. The patient subsequently underwent surgical resection of a large anterolateral aneurysm and a 2 inch long rupture of the myocardium and survived. Clinical suspicion, prompt diagnosis, and surgical intervention are important in the management of this relatively unusual complication of infarction.
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