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Jan
Left Ventricular Wall Rupture. Left ventricular LV free wall rupture is a catastrophic complication after acute myocardial infarction. Incidence of LV free-wall rupture post-acute myocardial infarction AMI is less than 1 but mortality is extremely high. Over the past decade the overall incidence of LVFWR has decreased given the advancements in reperfusion therapies. Transthoracic echocardiogram could not clearly identify a free-wall rupture so a left ventricular angiogram was performed and showed evidence of a posterobasal inferior wall rupture with double density in the right and trabeculated appearance in the left anterior oblique views attributed to extravasated and clotted blood in the pericardium Figure 2C and 2D and Movies I.
Transthoracic echocardiogram could not clearly identify a free-wall rupture so a left ventricular angiogram was performed and showed evidence of a posterobasal inferior wall rupture with double density in the right and trabeculated appearance in the left anterior oblique views attributed to extravasated and clotted blood in the pericardium Figure 2C and 2D and Movies I. Left ventricular free wall rupture LVFWR is a fearful complication of acute myocardial infarction in which a swift diagnosis and emergency surgery can be crucial for successful treatment. During emergency coronary angiography his condition became hemodynamically unstable. Another tiny rupture was identified in apical part of interventricular septum and in trabecular part of the muscle. 2 Fitzgibbon reported in 1972 the first successful surgical repair of left. An autopsy revealed mainly hemopericardium 150 ml due to 2 mm wide rupture in apical segment of the left ventricle free wall.
The optimal therapeutic strategy is controversial and.
Cases of survival after LVFWR due to ST-segment elevation myocardial infarction STEMI treated with a conservative treatment strategy are extremely rare. Another tiny rupture was identified in apical part of interventricular septum and in trabecular part of the muscle. Transthoracic echocardiogram could not clearly identify a free-wall rupture so a left ventricular angiogram was performed and showed evidence of a posterobasal inferior wall rupture with double density in the right and trabeculated appearance in the left anterior oblique views attributed to extravasated and clotted blood in the pericardium Figure 2C and 2D and Movies I. Cases of survival after LVFWR due to ST-segment elevation myocardial infarction STEMI treated with a conservative treatment strategy are extremely rare. 1Mechanical Circulatory Support Program Coordinator Cardiac Surgery Unit San Gerardo Hospital Monza Italy. Left ventricular free-wall rupture is one of the most fatal complications after acute myocardial infarction.