Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

An Unusual Case of Left Ventricular Free Wall Rupture Caused by a Silent Myocardial Infarction

  • Jin, Xin (Division of Cardiology, Department of Internal Medicine, YanBian Second People's Hospital) ;
  • Seol, Sang-Hoon (Division of Cardiology, Department of Internal Medicine , Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Seung-Hyeon (Division of Cardiology, Department of Internal Medicine , Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Lee, Joo-Won (Division of Cardiology, Department of Internal Medicine , Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Bo-Min (Division of Cardiology, Department of Internal Medicine , Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Dong-Kie (Division of Cardiology, Department of Internal Medicine , Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Ki-Hun (Division of Cardiology, Department of Internal Medicine , Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Doo-Il (Division of Cardiology, Department of Internal Medicine , Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Min, Ho-Ki (Division of Chest Surgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Yeon-Mee (Division of Pathology, Haeundae Paik Hospital, Inje University College of Medicine)
  • Published : 2012.10.31
⟨ Previous Next ⟩

Abstract

Left ventricular free wall rupture (LVFWR) is a serious complication of myocardial infarction. It presents with a very high mortality rate and can be rescued by accurate diagnosis and emergency surgery. LVFWR can occur with sudden overt clinical symptoms or present insidiously. This report highlights the case of a man with no prior history of coronary artery disease, who presented with LVFWR and pericardial effusion that evolved to severe bacterial pericarditis.

Keywords

References

  1. Figueras J, Cortadellas J, Soler-Soler J. Left ventricular free wall rupture: clinical presentation and management. Heart 2000;83:499-504. https://doi.org/10.1136/heart.83.5.499
  2. Shirani J, Berezowski K, Roberts WC. Out-of-hospital sudden death from left ventricular free wall rupture during acute myocardial infarction as the first and only manifestation of atherosclerotic coronary artery disease. Am J Cardiol 1994;73:88-92. https://doi.org/10.1016/0002-9149(94)90733-1
  3. Vanezis AP, Quadery R, Wasil M, Azher M. An unusual presentation of left ventricular free wall rupture following a silent myocardial infarction. BJMP 2009;2:41-3.
  4. Pohjola-Sintonen S, Muller JE, Stone PH, et al. Ventricular septal and free wall rupture complicating acute myocardial infarction: experience in the Multicenter Investigation of Limitation of Infarct Size. Am Heart J 1989;117:809-18. https://doi.org/10.1016/0002-8703(89)90617-0
  5. David TE. Surgery for post infarction rupture of the free wall of the ventricle. In: David TE editor. Mechanical Complications of Myocardial Infarction. Austin: RG Landes Company;1993. p.142.
  6. Pollak H, Diez W, Spiel R, Enenkel W, Mlczoch J. Early diagnosis of subacute free wall rupture complicating acute myocardial infarction. Eur Heart J 1993;14:640-8. https://doi.org/10.1093/eurheartj/14.5.640
  7. Mann JM, Roberts WC. Rupture of the left ventricular free wall during acute myocardial infarction: analysis of 138 necropsy patients and comparison with 50 necropsy patients with acute myocardial infarction without rupture. Am J Cardiol 1988;62:847-59. https://doi.org/10.1016/0002-9149(88)90881-8
  8. Batts KP, Ackermann DM, Edwards WD. Postinfarction rupture of the left ventricular free wall: clinicopathologic correlates in 100 consecutive autopsy cases. Hum Pathol 1990;21:530-5. https://doi.org/10.1016/0046-8177(90)90010-3
  9. Park SC, Kim JH, Kim YM, et al. A case of early developed left ventricular free wall rupture followed by acute inferior myocardial infarction. Korean Circ J 1999;29:73-8. https://doi.org/10.4070/kcj.1999.29.1.73
  10. Exadaktylos NI, Kranidis AI, Argyriou MO, Charitos CG, Andrikopoulos GK. Left ventricular free wall rupture during acute myocardial infarction: early diagnosis and treatment. Hellenic J Cardiol 2002;43:246-52.
  11. Reardon MJ, Carr CL, Diamond A, et al. Ischemic left ventricular free wall rupture: prediction, diagnosis, and treatment. Ann Thorac Surg 1997;64:1509-13. https://doi.org/10.1016/S0003-4975(97)00776-5
  12. Wehrens XH, Doevendans PA. Cardiac rupture complicating myocardial infarction. Int J Cardiol 2004;95:285-92. https://doi.org/10.1016/j.ijcard.2003.06.006