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Published on: February 1, 2022
Survival after left ventricular free wall rupture due to acute myocardial infarction
Mahmood Hosseinzadeh-Maleki1, Niloufar Valizadeh2, Niloofar Rafatpanah2
1Assistant Professor, Atherosclerosis and Coronary Artery Research Center AND Department of Cardiovascular Surgery, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Insights
Left ventricular free wall rupture, a complication of acute myocardial infarction, can be survived with prompt surgical repair. Early diagnosis and intervention are critical for positive outcomes in these high-risk patients.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Left ventricular free wall rupture is a severe complication of acute myocardial infarction (AMI).
- It occurs in 1-3% of AMI patients and is a leading cause of death.
Observation:
- A case report details a 60-year-old man experiencing acute left ventricular free wall rupture post-AMI.
- The patient survived following urgent surgical intervention.
Findings:
- Immediate surgical repair is the treatment of choice for left ventricular free wall rupture.
- Early diagnosis is critical for successful surgical outcomes.
Implications:
- Prompt surgical repair can lead to survival in patients with left ventricular free wall rupture.
- Further reporting on long-term survivors is needed to refine treatment strategies.
Background:
Left ventricular free wall rupture is a frequent catastrophic complication of acute myocardial infarction (AMI) and occurs in 1-3% of patients with acute myocardial infarction; it is the third most common cause of death caused by acute myocardial infarction, too.
Case Report:
We describe acute left ventricular free wall rupture due to acute myocardial infarction in a 60-year-old man. He was survived after urgent surgical intervention.
Conclusion:
The long-term survivors of free wall rupture repair have not been extensively reported; early diagnosis is very critical and immediate surgical repair is the treatment of choice.

