open access

Vol 13, No 7 (2006): Folia Cardiologica
Case Reports
Published online: 2006-09-15
Submitted: 2013-01-14
Get Citation

Double cardiac rupture in the course of infarction

Marek Moga
Folia Cardiol 2006;13(7):626-629.

open access

Vol 13, No 7 (2006): Folia Cardiologica
Case Reports
Published online: 2006-09-15
Submitted: 2013-01-14

Abstract

A 67-year-old man was admitted to hospital suffering from chest pains and electrocardiographic myocardial infarction with ST-segment elevation of the inferior wall, left and right ventricular infarction and cardiogenic shock. An emergency coronary angiography revealed total occlusion of the right coronary artery and absence of any collateral circulation. This was effectively recanalised with the implantation of a stent (TIMI 3 flow). Transthoracic echocardiography revealed a post-infarction ventricular septal defect with an essential left-toright shunt. Standard pharmacotherapy without the possibility of connection to an intra-aortic balloon pump did not improve the haemodynamic parameters of the patient. After performing a delayed but successful recanalisation of the infarcted coronary artery within two hours there was a rupture in the free wall of the left ventricle at the border with the site of the infarct, which led to the sudden death of the patient. Correct diagnosis of the disputable double cardiac rupture was established by means of echocardiography.

Abstract

A 67-year-old man was admitted to hospital suffering from chest pains and electrocardiographic myocardial infarction with ST-segment elevation of the inferior wall, left and right ventricular infarction and cardiogenic shock. An emergency coronary angiography revealed total occlusion of the right coronary artery and absence of any collateral circulation. This was effectively recanalised with the implantation of a stent (TIMI 3 flow). Transthoracic echocardiography revealed a post-infarction ventricular septal defect with an essential left-toright shunt. Standard pharmacotherapy without the possibility of connection to an intra-aortic balloon pump did not improve the haemodynamic parameters of the patient. After performing a delayed but successful recanalisation of the infarcted coronary artery within two hours there was a rupture in the free wall of the left ventricle at the border with the site of the infarct, which led to the sudden death of the patient. Correct diagnosis of the disputable double cardiac rupture was established by means of echocardiography.
Get Citation

Keywords

double cardiac rupture; post-infarction ventricular septal defect; left ventricular free wall rupture

About this article
Title

Double cardiac rupture in the course of infarction

Journal

Cardiology Journal

Issue

Vol 13, No 7 (2006): Folia Cardiologica

Pages

626-629

Published online

2006-09-15

Bibliographic record

Folia Cardiol 2006;13(7):626-629.

Keywords

double cardiac rupture
post-infarction ventricular septal defect
left ventricular free wall rupture

Authors

Marek Moga

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