Myocardial free-wall rupture after acute infarction: survival aided by percutaneous intraaortic balloon counterpulsation.
Key result
Percutaneous IABP provides hemodynamic stability enabling successful surgical repair of ventricular free-wall rupture.
- n=1
Population
1 69-year-old male with ventricular free-wall rupture after his first acute myocardial infarction
Design
Case_report
Authors
Discussion
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Member takes
Implication
May support IABP stabilization in post-MI free-wall rupture; hypothesis-generating and should not yet change practice.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 69-year-old male who suffered ventricular free-wall rupture after his first acute myocardial infarction.
I
Intervention
Percutaneous insertion of an intraaortic balloon pump (IABP) assist device, followed by cardiac catheterization, repair of free-wall rupture, and coronary artery bypass grafting
O
Outcome
Survival and return to full activityhard clinical
Early use of an intraaortic balloon pump can provide crucial hemodynamic stability for patients with ventricular free-wall rupture post-MI to bridge them to definitive surgical repair.
Cite This Study
Hochreiter et al. (1982) conducted a case report in Ventricular free-wall rupture after acute myocardial infarction (n=1). Percutaneous intraaortic balloon counterpulsation was evaluated on Hemodynamic stability and survival. Percutaneous intraaortic balloon counterpulsation provided sufficient hemodynamic stability to allow successful surgical repair and survival in a patient with ventricular free-wall rupture.