Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CT
A 79-year-old female patient was admitted to the hospital due to intense chest pain. Emergency percutaneous coronary intervention (PCI) revealed an occlusion in the distal portion of the left circumflex artery (LCx). The patient suffered from cardiac rupture, an uncommon yet extremely perilous condi...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023056682 |
| _version_ | 1797733082448527360 |
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| author | Yiqing Hu Junzhen Liu Juying Qian Hao Lu Junbo Ge |
| author_facet | Yiqing Hu Junzhen Liu Juying Qian Hao Lu Junbo Ge |
| author_sort | Yiqing Hu |
| collection | DOAJ |
| description | A 79-year-old female patient was admitted to the hospital due to intense chest pain. Emergency percutaneous coronary intervention (PCI) revealed an occlusion in the distal portion of the left circumflex artery (LCx). The patient suffered from cardiac rupture, an uncommon yet extremely perilous condition, within 30 minutes following the procedure. This was verified through a computed tomography angiography (CTA) scan and bedside echocardiography. The etiology of cardiac rupture remains elusive, yet potential factors such as the patient's age, gender, initial acute myocardial infarction (AMI), and single-vessel disease without collateral circulation may be linked to this occurrence. This case report emphasizes that occluded tiny distal coronary arteries can also induce cardiac rupture and that a sufficient level of suspicion for the diagnosis of cardiac rupture should be raised when adequate fluid resuscitation fails to alleviate hypotension. Additionally, contrast-enhanced spiral computed tomography (CESCT) is highly effective in revealing certain pathological features associated with cardiac rupture. |
| first_indexed | 2024-03-12T12:22:54Z |
| format | Article |
| id | doaj.art-acc164182a114ddb898b89c3568c8881 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-12T12:22:54Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-acc164182a114ddb898b89c3568c88812023-08-30T05:51:24ZengElsevierHeliyon2405-84402023-08-0198e18460Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CTYiqing Hu0Junzhen Liu1Juying Qian2Hao Lu3Junbo Ge4Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, 200032, China; National Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Shanghai Clinical Research Center for Interventional Medicine, Shanghai, 200032, ChinaDepartment of Radiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, 200032, China; National Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Shanghai Clinical Research Center for Interventional Medicine, Shanghai, 200032, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, 200032, China; National Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Shanghai Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Corresponding author. Address: 1609 Xietu Road, Xuhui District, Shanghai 200032, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, 200032, China; National Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Shanghai Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Corresponding author. Address: 1609 Xietu Road, Xuhui District, Shanghai 200032, ChinaA 79-year-old female patient was admitted to the hospital due to intense chest pain. Emergency percutaneous coronary intervention (PCI) revealed an occlusion in the distal portion of the left circumflex artery (LCx). The patient suffered from cardiac rupture, an uncommon yet extremely perilous condition, within 30 minutes following the procedure. This was verified through a computed tomography angiography (CTA) scan and bedside echocardiography. The etiology of cardiac rupture remains elusive, yet potential factors such as the patient's age, gender, initial acute myocardial infarction (AMI), and single-vessel disease without collateral circulation may be linked to this occurrence. This case report emphasizes that occluded tiny distal coronary arteries can also induce cardiac rupture and that a sufficient level of suspicion for the diagnosis of cardiac rupture should be raised when adequate fluid resuscitation fails to alleviate hypotension. Additionally, contrast-enhanced spiral computed tomography (CESCT) is highly effective in revealing certain pathological features associated with cardiac rupture.http://www.sciencedirect.com/science/article/pii/S2405844023056682Cardiac ruptureAcute myocardial infarctionTiny distal coronary arteriesContrast-enhanced spiral CT |
| spellingShingle | Yiqing Hu Junzhen Liu Juying Qian Hao Lu Junbo Ge Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CT Heliyon Cardiac rupture Acute myocardial infarction Tiny distal coronary arteries Contrast-enhanced spiral CT |
| title | Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CT |
| title_full | Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CT |
| title_fullStr | Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CT |
| title_full_unstemmed | Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CT |
| title_short | Unveiling a rare case: Cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast-enhanced spiral CT |
| title_sort | unveiling a rare case cardiac rupture secondary to acute occlusion of the distal left circumflex artery detected by contrast enhanced spiral ct |
| topic | Cardiac rupture Acute myocardial infarction Tiny distal coronary arteries Contrast-enhanced spiral CT |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023056682 |
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