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Anesthetic Management of Pre-Induction Subacute Left Ventricular Wall Rupture: A Case Report

Soniya R Sulhyan, Anand T Vagarali, Sharangouda S Patil, and Mahadev D Dixit
Department of Cardiothoracic and Vascular Anesthesia and Surgery, KLE University¡¯s Jawaharlal Nehru Medical College, Krishna floor, Near ITU (Intensive Therapy Unit), Dr. Prabhakar Kore¡¯s Hospital and Medical Research Centre, Nehrunagar, Belgaum-590010, Karnataka, India.
Abstract—Rupture of the free wall of the Left Ventricle (LV) is a fatal complication of acute myocardial infarction (AMI). The clinical presentation varies from the acute form which has a high mortality rate to the formation of a pseudoaneurysm. Sudden electromechanical dissociation in the Operating Room (OR) has many clinical possibilities and it warrants rapidious surgical intervention in a hemodynamically unstable patient. This rare case report discusses the challenges faced by the anaesthetist in the diagnosis and management of a subacute form of left ventricular free wall rupture (LVFWR) before the induction of anaesthesia in the OR.

Index Terms—Subacute left ventricular wall rupture, Anesthetic management, Acute myocardial infarction, Electromechanical dissociation

Cite: Soniya R Sulhyan, Anand T Vagarali, Sharangouda S Patil, and Mahadev D Dixit, "Anesthetic Management of Pre-Induction Subacute Left Ventricular Wall Rupture: A Case Report," International Journal of Pharma Medicine and Biological Sciences, Vol. 3, No. 2, pp. 40-45, April 2014.
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