Proposes the pathological description of 'contained myocardial rupture' as a variant linking complete and incomplete rupture, which may allow for conservative management.
Answers are grounded in this paper and cite their sources.
May support conservative management for epicardium-sparing contained rupture; hypothesis-generating and requires prospective validation.
Myocardial rupture is an uncommon complication of myocardial infarction, often with devastating haemodynamic consequences. Although rupture is usually fatal, when patients do survive, the majority present with a pseudoaneurysm in which the rupture is sealed by a haematoma on the epicardial surface of the heart. Cases in which all myocardial layers are dissected except the epicardium or visceral pericardium have been included under this subheading. The authors describe such a case and suggest the pathological description of a "contained myocardial rupture". This link between complete and incomplete myocardial rupture may allow a more conservative management approach to be pursued.
No takes yet. Share an insight, caveat, or question.
Tarek Helmy (2005) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: