Direct visualization of left ventricular free wall rupture by levocardiography

Krakau, Ingo; Lapp, Harald; Wolfertz, Judith; Gülker, H

doi:10.1002/ccd.10178

Cited by 4 publications

(5 citation statements)

References 89 publications

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“…These four cases, therefore, may be interpreted as an IMR that progressed to a FWR which transiently bled into the pericardium and became self-sealed or, conversely, as an IMR with a PE unrelated to FWR. Previous investigators have reported similar cases of PE with a myocardial channel filled with contrast material in the left ventriculogram 14,31 or in an echocardiogram, 6 in whom surgery confirmed the existence of a FWR. 6,14,31 Moreover, evidence of the progression of an IMR to a FWR in some cases has also been produced.…”

Section: Mechanisms Of Imr and Outcomementioning

confidence: 82%

“…Previous investigators have reported similar cases of PE with a myocardial channel filled with contrast material in the left ventriculogram 14,31 or in an echocardiogram, 6 in whom surgery confirmed the existence of a FWR. 6,14,31 Moreover, evidence of the progression of an IMR to a FWR in some cases has also been produced. 5 Some of the reported patients with IMR have undergone surgery with variable results 13 while others have been managed medically.…”

Section: Mechanisms Of Imr and Outcomementioning

confidence: 82%

“…2 On the other hand, isolated cases of incomplete myocardial rupture (IMR), as documented by echocardiography, [5][6][7][8][9][10][11] contrast left ventriculography 6,11,12 or cardiac magnetic resonance (CMR), 6,8,10,11 have also been reported and may also evolve to complete rupture and tamponade. 5,13,14 However, a comparison of the clinical and CMR profile of patients with PE with those of patients with IMR to identify potential similarities has not been performed.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of distinctive clinical and cardiac magnetic resonance features between ST elevation myocardial infarction patients with incomplete myocardial rupture and those with moderate to severe pericardial effusion

Pineda

Figueras

Moral

et al. 2017

European Heart Journal: Acute Cardiovascular Care

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Section: Mechanisms Of Imr and Outcomementioning

confidence: 82%

Section: Mechanisms Of Imr and Outcomementioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of distinctive clinical and cardiac magnetic resonance features between ST elevation myocardial infarction patients with incomplete myocardial rupture and those with moderate to severe pericardial effusion

Pineda

Figueras

Moral

et al. 2017

European Heart Journal: Acute Cardiovascular Care

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show abstract

“…Otherwise, the sensitivity of echocardiography for diagnosing complications after AMI showed marked variation [9]. Some reports indicated that left ventriculography (LVG) was useful for identifying mechanical complications after AMI [10]. Performing LVG along with coronary angiography can provide immediate information of complications in the catheter laboratory and is important for preoperative patient assessment to consider additional surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Anterior Papillary Muscle Rupture due to Acute Myocardial Microinfarction of the Small High Lateral Branch

Kono

Takagi

Negoto

et al. 2022

Case Reports in Cardiology

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Papillary muscle rupture is a catastrophic condition, of which most cases manifest posterior papillary muscle rupture. Anterior papillary muscle rupture is a rare condition. Particularly, anterior papillary muscle rupture due to acute myocardial microinfarction of the small high lateral branch is extremely rare. Since papillary muscle rupture can occur even in such a small branch or small area due to myocardial infarction, echocardiographic and/or ventriculographic confirmation is essential in cases of sudden worsening of heart failure. Herein, we report the case of anterior papillary muscle rupture with a good outcome. A 61-year-old man was admitted to our hospital with cardiogenic shock. Echocardiography revealed severe mitral regurgitation due to papillary muscle rupture. Coronary angiography demonstrated high-grade stenosis in the high lateral branch. However, no other significant stenoses were found. Emergency mitral valve replacement was performed. The patient was discharged 19 days after surgery without any complications.

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“…In the adult population, free wall ruptures, ventricular septal defects, and pseudoaneurysms are acute or subacute processes. Left ventriculography can often provide the first suggestion of myocardial disruption which would guide further imaging and urgent surgical or catheter based treatment .…”

Section: Information Obtained From Left Ventriculographymentioning

confidence: 99%

Optimal use of left ventriculography at the time of cardiac catheterization: A consensus statement from the society for cardiovascular angiography and interventions

Gigliotti

Babb

Dieter

et al. 2014

Cathet Cardio Intervent

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The rationale to perform left ventriculography at the time of cardiac catheterization has been little studied. The technique and frequency of use of left ventriculography vary by geographic regions, institutions, and individuals. Despite the recent publication of guidelines and appropriate use criteria for coronary angiography, revascularization, and noninvasive imaging, to date there have been no specific guidelines on the performance of left ventriculography. When left ventriculography is performed, proper technique must be used to generate high quality data which can direct patient management. The decision to perform left ventriculography in place of, or in addition to, other forms of ventricular assessment should be made taking into account the clinical context and the type of information each study provides. This paper attempts to show the role of left ventriculography at the time of coronary angiography or left heart catheterization. The recommendations in this document are not formal guidelines but are based on the consensus of this writing group. These recommendations should be tested through clinical research studies. Until such studies are performed, the writing group believes that adoption of these recommendations will lead to a more standardized application of ventriculography and improve the quality of care provided to cardiac patients. Catheterization and Cardiovascular Interventions 85:181-191 (2015) While guidelines and appropriate use criteria (AUC) have addressed the indications for left heart catheterization associated with coronary angiography [2] and to evaluate heart failure [3], they have not addressed the role of left ventriculography. This document attempts to fill that void. It deals only with left ventriculography (invasive imaging of the left ventricle with contrast injection) and does not address left heart catheterization (catheter placement in the left ventricle, usually to assess pressures).Currently, there are no specific guidelines on the performance of left ventriculography at the time of coronary angiography or left heart catheterization. Recent AUC for diagnostic catheterization define clinical scenarios where coronary angiography and/or left heart catheterization is appropriate, uncertain, or inappropriate, but the decision to perform ventriculography is left to the discretion of the operator. Patel et al. have suggested clinical scenarios where cardiac catheterization (defined as including coronary angiography, left heart catheterization, and left ventriculography) is an appropriate imaging modality in the evaluation of a possible ischemic etiology of heart failure [3]. They did not define specifically the appropriateness of left ventriculography alone, particularly when other measurements of LV systolic function are available.Regional variation in the performance of ventriculography in the United States has been noted by several authors. Joffe et al.

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Direct visualization of left ventricular free wall rupture by levocardiography

Cited by 4 publications

References 89 publications

Comparison of distinctive clinical and cardiac magnetic resonance features between ST elevation myocardial infarction patients with incomplete myocardial rupture and those with moderate to severe pericardial effusion

Comparison of distinctive clinical and cardiac magnetic resonance features between ST elevation myocardial infarction patients with incomplete myocardial rupture and those with moderate to severe pericardial effusion

Anterior Papillary Muscle Rupture due to Acute Myocardial Microinfarction of the Small High Lateral Branch

Optimal use of left ventriculography at the time of cardiac catheterization: A consensus statement from the society for cardiovascular angiography and interventions

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