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Fatal huge left free wall ventricular rupture after acute posterior myocardial infarction

Francesco Formica1, Silvia Mariani2, Orazio Ferro3

  • 1Cardiac Surgery Unit, San Gerardo Hospital, Monza, Italy ; Department of Surgery and Interdisciplinary Medicine, University of Milan-Bicocca, Italy ; U.O. Cardiochirurgia, A.O. San Gerardo Via Pergolesi 33, 20900 Monza (MB), Italy.

Case Reports in Cardiology
|May 15, 2014
PubMed

Insights

A severe complication of myocardial infarction, left ventricular free wall rupture (LVFWR), was observed in a patient. The extensive damage to the heart wall prevented surgical repair.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pathology

Background:

  • Acute myocardial infarction can lead to life-threatening mechanical complications.
  • Left ventricular free wall rupture (LVFWR) is a rare but catastrophic event following myocardial infarction.

Purpose of the Study:

  • To report a rare case of extensive double left ventricular free wall rupture.
  • To highlight the challenges in managing such severe cardiac injuries.

Main Methods:

  • Clinical presentation and echocardiographic findings were assessed.
  • Intraoperative findings were documented.
  • Surgical repair feasibility was evaluated.

Main Results:

  • A 77-year-old male presented with signs of LVFWR post-myocardial infarction.
  • Intraoperative examination revealed a massive double LVFWR.
  • The inferoposterior wall destruction precluded any possibility of repair.

Conclusions:

  • Extensive LVFWR represents a critical surgical emergency with limited treatment options.
  • Prompt diagnosis and assessment of rupture extent are crucial for patient management.

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