id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-282912-jegpgqqi	Pilato, Emanuele	Mechanical complications of Myocardial Infarction during Covid-19 Pandemic: An Italian single-Centre experience: Heart ruptures in covid-19 era	2020-09-18		.txt	text/plain	1393	64	44	This phenomenon caused a significant reduction in acute coronary syndrome-related interventional procedures with a subsequent increase in critical hospitalizations and post-infarction mechanical complications. A case series of cardiac ruptures during the COVID-19 lockdown and the surgical treatment of a huge post-ischemic cardiac pseudoaneurysm complicated by a "contained" free wall rupture are presented. Serum analysis and ECG were negative for a new ACS, but the echocardiogram revealed the presence of a huge dilatation of the cardiac apex (6.5 cm x 5.2 cm) complicated by subacute rupture of its posterior wall and by organized thrombosis inside it (figure 1A). All patients were discharged in very good general state but this report, in our opinion, demonstrated and confirmed two key points of the ACS treatment: early coronary revascularization reduces significantly the incidence of the mechanical complication but COVID-19 pandemic could completely thwart these prevention strategies and change the cardiac surgery population that we will have to deal with in the next months [5] .	./cache/cord-282912-jegpgqqi.txt	./txt/cord-282912-jegpgqqi.txt