Mechanical complication of acute myocardial infarction: contained cardiac rupture. Case report
DOI:
https://doi.org/10.37615/retic.v8n3a8Keywords:
contained cardiac rupture, mechanical complication of acute myocardial infarctionAbstract
We present the case of a 74-year-old man who came to the emergency department with a history of chest pain and recurrent syncope. The evaluation revealed an acute myocardial infarction complicated by a contained rupture. Although the diagnosis and indication for urgent surgery were made very quickly, the patient suffered cardiopulmonary arrest before the procedure. This case demonstrates the fundamental role of echocardiography as an initial tool in detecting mechanical complications of post-infarction and the usefulness of CT in confirming the diagnosis. Early diagnosis of this type of complication is key to improving patient prognosis.
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Birnbaum Y, Chamoun AJ, Anzuini A, Lick SD, Ahmad M, Uretsky BF. Ventricular free wall rupture following acute myocardial infarction. Coron Artery Dis. 2003 Sep;14(6):463-70. https://doi.org/10.1097/00019501-200309000-00008 DOI: https://doi.org/10.1097/00019501-200309000-00008
Flynn CD, Morris P, Manuel L, Matteucci M, Ronco D, Massimi G, et al. Systematic review and meta-analysis of the mechanical complications of ischemic heart disease: papillary muscle rupture, left ventricle rupture and post-infarct ventricular septal defect. Ann Cardiothorac Surg. 2022 May;11(3):195-209. https://doi.org/10.21037/acs-2022-ami-24 DOI: https://doi.org/10.21037/acs-2022-ami-24
Murphy A, Goldberg S. Mechanical complications of myocardial infarction. Am J Med. 2022 Dec;135(12):1401-9. https://doi.org/10.1016/j.amjmed. 2022.08.017 DOI: https://doi.org/10.1016/j.amjmed.2022.08.017
Purcaro A, Costantini C, Ciampani N, Mazzanti M, Silenzi C, Gili A, et al. Diagnostic criteria and management of subacute ventricular
free wall rupture complicating acute myocardial infarction. Am J Cardiol. 1997 Aug 15;80(4):397-405. https://doi.org/10.1016/S0002- DOI: https://doi.org/10.1016/S0002-9149(97)00385-8
(97)00385-8
Matteucci M, Fina D, Jiritano F, Meani P, Blankesteijn WM, Raffa GM, et al. Treatment strategies for post-infarction left ventricular free-wall rupture. Eur Heart J Acute Cardiovasc Care. 2019 Jun;8(4):379-87. https://doi.org/10.1177/2048872619840876 DOI: https://doi.org/10.1177/2048872619840876
Yousef S, Sultan I, VonVille HM, Kahru K, Arnaoutakis GJ. Surgical management for mechanical complications of acute myocardial infarction: a systematic review of long-term outcomes. Ann Cardiothorac Surg. 2022 May;11(3):239-51. https://doi.org/10.21037/acs-2021-ami-20 DOI: https://doi.org/10.21037/acs-2021-ami-20
Bhardwaj A, Kumar S, Salas de Armas IA, Nascimbene A, Nathan S, Kar B, et al. Pre- and post-operative mechanical circulatory support in surgical repair of post-acute myocardial infarction mechanical complications. Ann Cardiothorac Surg. 2022 May;11(3):304-9. https://doi.org/10.21037/acs-2021-ami-206 DOI: https://doi.org/10.21037/acs-2021-ami-206
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Copyright (c) 2025 Araceli Sánchez Page, Luis Cerdán Ferreira, Marta López Ramón
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