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Left ventricular rupture: a rare complication and an unusual presentation

Antony Mathew1, Eleanor Berry2, Malini Tirou2

  • 1Emergency Department, Withybush General Hospital, Haverfordwest, Pembrokeshire, UK antonymat@aol.com.

BMJ Case Reports
|February 22, 2020
PubMed

Insights

Left ventricular rupture is a rare but serious complication of myocardial infarction (MI). Prompt surgical repair offers patients with this life-threatening condition a chance for excellent recovery.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Complications

Background:

  • Myocardial infarction (MI) is a prevalent cardiovascular event.
  • Left ventricular (LV) rupture is a rare, often fatal, complication of acute MI.
  • This complication typically arises from transmural infarcts within 3-7 days post-MI.

Observation:

  • The anterolateral wall is the most commonly affected site in LV rupture.
  • Presentation can be atypical, mimicking gastrointestinal issues, and may occur weeks after the initial MI.
  • The case involves a 70-year-old male patient with LV rupture.

Findings:

  • LV rupture following MI has a historically grim prognosis.
  • Early diagnosis and intervention are critical for patient outcomes.
  • Surgical repair is the definitive treatment for LV rupture.

Implications:

  • This case highlights the importance of considering rare complications like LV rupture in MI patients.
  • Timely surgical intervention can significantly improve survival rates and patient recovery.
  • Further research into optimizing management strategies for LV rupture is warranted.
Keywords:
emergency medicineresuscitation

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