Left ventricular free wall rupture in acute myocardial infarction: A case report and literature review

Offer Amir, Ronald Smith, Akaira Nishikawa, Igor D. Gregoric, Frank W. Smart

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

We describe a case of subacute left ventricular free wall rupture during acute myocardial infarction in a 68-year-old man. The diagnosis was confirmed by echocardiography. The patient was supported by an intra-aortic balloon pump until the ruptured wall could be successfully repaired by suturing and gluing a pericardial patch over the defect and bypassing the left anterior descending coronary artery with a vein graft. This case demonstrates that left ventricular free wall rupture is not always fatal and that early diagnosis and institution of intra-aortic balloon pump support in such patients can allow successful bridging to definitive emergency surgical therapy.

Original languageEnglish
Pages (from-to)424-426
Number of pages3
JournalTexas Heart Institute Journal
Volume32
Issue number3
StatePublished - 2005
Externally publishedYes

Keywords

  • Echocardiography
  • Heart catheterization
  • Heart rupture, post-infarction/ diagnosis/surgery/ultrasonography
  • Heart ventricle/pathology/surgery
  • Humans
  • Intra-aortic balloon pumping
  • Male
  • Myocardial infarction/complications/therapy
  • Ventricular septal rupture

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