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  • Title: Cardiogenic shock due to ventricular rupture. A surgical approach.
    Author: Parr GV, Pae WE, Pierce WS, Zelis R.
    Journal: J Thorac Cardiovasc Surg; 1981 Dec; 82(6):889-91. PubMed ID: 7300417.
    Abstract:
    Following a posterolateral myocardial infarction, a 57-year-old man developed severe shock which did not respond to catecholamine infusion and intra-aortic balloon counterpulsation. Implantation of a left ventricular assist pump was planned, but at sternotomy free ventricular rupture was identified and repaired. Repair of free-wall ventricular rupture is uncommon because of infrequent antemortem diagnosis. A more aggressive surgical approach of instituting left ventricular assist pumping in those patients with cardiogenic shock refractory to medical therapy and intra-aortic balloon pumping should yield the additional benefit of repair of the rather common but rarely recognized lesion of ventricular rupture.
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