Case report| Volume 27, ISSUE 6, P868.e5-868.e7, November 2011

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Successful Surgical Repair of Ventricular Double Rupture


      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.


      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.
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