This multisociety European Society of Cardiology (ESC)/European Association for Cardio-Thoracic Surgery (EACTS) consensus statement addresses three mechanical complications of acute myocardial infarction: ventricular free-wall rupture, pseudoaneurysm, and papillary muscle rupture. Now occurring in under 1 percent of cases owing to prompt revascularization, these still carry significant hemodynamic risk. Once treatable only by surgery, transcatheter options now offer alternatives for high-risk patients. The authors emphasize the prognostic threat of recurrence, the unresolved role of concomitant revascularization, mechanical circulatory support, and multidisciplinary heart team management incorporating palliative care.
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Ventricular Free-Wall Rupture, Ventricular Pseudoaneurysm, and Papillary Muscle Rupture Complicating Acute Myocardial Infarction
Submitted by: EACTS Staff
Source: European Journal of Cardio-Thoracic Surgery
Author(s): Roberto Lorusso, Matteo Matteucci, Daniele Ronco, Giulio Massimi, Susanna Price, Martin Czerny, Rodrigo Estévez-Loureiro, Matthias Siepe, Gianluca Pontone, Christian Hassager, Ovidiu Chioncel, Marco Zuin, Constantinos H. Davos , Marianna Adamo, Finn Gustafsson, George Giannakoulas, Nicolas Amabile, Alessandro Sionis, Matthias Thielmann, Steffen Erhard Petersen, Bernard Cosyns, Kurt Huber, Mariya Tokmakova, Davide Pacini, Frederikus A. Klok, Francesco Saia, Ana Abreu, Michael Grimm, Marc J. Claeys, Ana García-Álvarez, Bernhard Gerber, Carlos A. Mestres, Stephan Rosenkranz, Stamatis Adamopoulos, Nikolaos Bonaros
