Abstract
Cardiac rupture represents a catastrophic complication of myocardial infarction with
an exceedingly high mortality rate. In rare instances, a myocardial infarction can
be complicated by 2 separate forms of rupture. The most common form of ventricular
double rupture consists of free wall rupture in association with ventricular septal
rupture. The present case provides an example of survival following this form of ventricular
double rupture and emphasizes the importance of prompt clinical recognition followed
by urgent surgical repair.
Résumé
La rupture cardiaque est une complication catastrophique de l'infarctus du myocarde,
associée à un taux de mortalité très élevé. Rarement, un même infarctus peut causer
deux types différents de rupture : une rupture inter-ventriculaire et une rupture
de la paroi libre du ventricule. Nous décrivons ici l'exemple d'un patient qui s'est
présenté avec une telle double-rupture. Un diagnostic rapide et une intervention chirurgicale
rapide lui ont permis de survivre à cette complication grave.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Canadian Journal of CardiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Postinfarction ventricular septal rupture: repair by endocardial patch with infarct exclusion.J Thorac Cardiovasc Surg. 1995; 110: 1315-1322
- Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period.Circulation. 2008; 118: 2783-2789
- Double rupture of interventricular septum and free wall of the left ventricle, as a mechanical complication of acute myocardial infarction: a case report.J Med Case Reports. 2008; 2: 85
- Fatal rupture of both left ventricular free wall and ventricular septum (double rupture) during acute myocardial infarction: analysis of seven patients studied at necropsy.Am J Cardiol. 1987; 60: 722-724
- Spontaneous double rupture of the heart.Arch Pathol. 1940; 29: 796-799
Article info
Publication history
Accepted:
August 17,
2011
Received:
July 29,
2011
Footnotes
See page 868.e7 for disclosure information.
Identification
Copyright
© 2011 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
