Postinfarction left ventricular free wall rupture: a 17-year single-centre experience

Left ventricular free wall rupture (LVFWR) is a catastrophic complication following acute myocardial infarction with an estimated incidence of 0.2-7.6% and mortality can be as high as 60%. This study aimed to identify the risk factors for morbidity and mortality in patients affected by LVFWR. This i...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2018-01, Vol.53 (1), p.150-156
Main Authors: Formica, Francesco, Mariani, Serena, Singh, Gurmeet, D'Alessandro, Stefano, Messina, Luigi Amerigo, Jones, Norman, Bamodu, Oluwaseun Adebayo, Sangalli, Fabio, Paolini, Giovanni
Format: Article
Language:English
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Summary:Left ventricular free wall rupture (LVFWR) is a catastrophic complication following acute myocardial infarction with an estimated incidence of 0.2-7.6% and mortality can be as high as 60%. This study aimed to identify the risk factors for morbidity and mortality in patients affected by LVFWR. This is a retrospective study of 35 patients who underwent surgery for LVFWR between January 2000 and December 2016 at our institution. The mean age of patients was 68.3 years. The in-hospital survival was 65.7% (n = 23), and 13% of survived patients presented with cardiac arrest. The following characteristics were associated with in-hospital mortality at univariable analysis: pre-existing hypertension (P = 0.02), need for inotropes (P = 0.02) and cardiac arrest (P 
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezx271