Legal Medicine
Volume 5, Issue 1 , Pages 27-33 , March 2003

Cardiopulmonary resuscitation does not cause left ventricular rupture of the heart with acute myocardial infarction: a pathological analysis of 77 autopsy cases

  • Aya Takada

      Affiliations

    • Department of Forensic Medicine, Saitama Medical School, Moro-Hongo 38, Moroyama, Saitama 350-0495, Japan
    • Tokyo Medical Examiner's Office, Tokyo 112-0012, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81-49-276-1177; fax: +81-49-294-9713
  • ,
  • Kazuyuki Saito

      Affiliations

    • Department of Forensic Medicine, Saitama Medical School, Moro-Hongo 38, Moroyama, Saitama 350-0495, Japan
    • Tokyo Medical Examiner's Office, Tokyo 112-0012, Japan
  • ,
  • Masahiko Kobayashi

      Affiliations

    • Department of Forensic Medicine, Saitama Medical School, Moro-Hongo 38, Moroyama, Saitama 350-0495, Japan
    • Tokyo Medical Examiner's Office, Tokyo 112-0012, Japan

Received 26 November 2002 ,Revised 19 December 2002 ,Accepted 24 December 2002.

References 

  1. Mann JM, Roberts WC. Rupture of the left ventricular free wall during acute myocardial infarction: analysis of 138 necropsy patients and comparison with 50 necropsy patients with acute myocardial infarction without rupture. Am J Cardiol. 1988;62:847–859
  2. Batts KP, Ackermann DM, Edwards WD. Postinfarction rupture of the left ventricular free wall: clinicopathologic correlates in 100 consecutive autopsy cases. Hum Pathol. 1990;21:530–535
  3. Yamaguchi Y. Cardiac rupture due to myocardial infarction: a statistical study of autopsy cases in Tokyo Medical Examiner's Office. Res Pract Forensic Med. 1992;35:341–351 (in Japanese with English abstract)
  4. Sheppard M, Davies MJ. Practical cardiovascular pathology. London: Arnold; 1998; p. 42–2
  5. Yamada EY, Fukunaga FH. Cardiopulmonary complications of external cardiac massage. Hawaii Med J. 1969;29:114–117
  6. Atcheson SG, Petersen GV, Fred HL. Ill-effects of cardiac resuscitation: report of two unusual cases. Chest. 1975;67:615–616
  7. Noffsinger AE, Blisard KS, Balko MG. Cardiac laceration and pericardial tamponade due to cardiopulmonary resuscitation after myocardial infarction. J Forensic Sci. 1991;36:1760–1764
  8. Becker AE, van Mantgem JP. Cardiac tamponade. A study of 50 hearts. Eur J Cardiol. 1975;3/4:349–358
  9. Mallory GK, White PD, Salcedo-Salgar J. The speed of healing of myocardial infarction. A study of the pathologic anatomy in seventy-two cases. Am Heart J. 1939;18:647–671
  10. Lodge-Patch I. The ageing of cardiac infarcts, and its influence on cardiac rupture. Br Heart J. 1951;13:37–42
  11. Lauch EV, Lanks KW. Pathogenesis of cardiac rupture. Arch Pathol. 1967;84:264–271
  12. Falk E. Dynamics in thrombus formation. Ann N Y Acad Sci. 1992;667:204–223
  13. Kumar V, Cotran RS, Robbins SL. Basic pathology. 6th ed.. Philadelphia, PA: W.B. Saunders; 1997; p.69–73
  14. Jorgensen L. Experimental platelet and coagulation thrombi. A histological study of arterial and venous thrombi of varying age in untreated and heparinized rabbits. Acta Pathol Microbiol Scand. 1964;62:189–223
  15. Klintschar M, Darok M, Radner H. Massive injury to the heart after attempted active compression–decompression cardiopulmonary resuscitation. Int J Legal Med. 1998;111:93–96
  16. Baldwin JJ, Edwards JE. Rupture of right ventricle complicating closed chest cardiac massage. Circulation. 1976;53:562–564
  17. Bodily K, Fischer RP. Aortic rupture and right ventricular rupture induced by closed chest cardiac massage. Minn Med. 1979;62:225–227
  18. Powner DJ, Holcombe PA, Mello LA. Cardiopulmonary resuscitation-related injuries. Crit Care Med. 1984;12:54–55
  19. Paaske F, Hart Hansen JP, Koudahl G, Olsen J. Complications of closed-chest cardiac massage in a forensic autopsy material. Dan Med Bull. 1968;15:225–230
  20. Atcheson SG, Fred HL. Complications of cardiac resuscitation. Am Heart J. 1975;89:263–265
  21. Nagel EL, Fine EG, Krischer JP, Davis JH. Complications of CPR. Crit Care Med. 1981;9:424
  22. Agdal N, Jorgensen TG. Penetrating laceration of the pericardium and myocardium and myocardial rupture following closed-chest cardiac massage. Acta Med Scand. 1973;194:477–479
  23. Fosse E, Lindberg H. Left ventricular rupture following external chest compression. Acta Anaesthesiol Scand. 1996;40:502–504
  24. Wild LM, Lajos TZ, Lee AB, Wright J. Left ventricular laceration due to stented prosthesis. Chest. 1980;77:216–217

PII: S1344-6223(03)00002-6

Legal Medicine
Volume 5, Issue 1 , Pages 27-33 , March 2003