CARDIAC RUPTURE COMPLICATING ACUTE MYOCARDIAL INFARCTION
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概要
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An autopsy case of cardiac rupture complicating acute myocardial infarction in a 69-year-old man is described, and six additional cases including this case, all of them autopsied at our department during between 1968 and 1987, were clinicopathologically reviewed. A common pathologic finding of these cases was the transmural infarction without old infarction scars, and the majority of them revealed a thrombotic occlusion of a main coronary artery, and thinning of the infarcted cardial wall. From a clinicopathologic point of view, mechanical stress, such as the intraventricular pressure and pathologic strain elicited by myocardial overcontraction, which acts on the center of the transmural necrotic wall, seems to be necessary for the occurrence of cardiac rupture.
- 北関東医学会の論文
北関東医学会 | 論文
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