Cardiac Rupture Following Myocardial Infarction - A Case Report

Ventricular wall rupture occurs in 1–3% cases with acute myocardial infarction (AMI) and is the third most common cause of death caused by AMI. This most sever mechanical complication of the AMI often remains undiagnosed and constitute a necropsy finding. Acute free wall rupture complicating AMI is...

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Bibliographic Details
Published inMedico-legal update Vol. 14; no. 1; pp. 198 - 201
Main Authors Shinge, Shrikant, Waghmode, Avinash, Kumar, Umesh
Format Journal Article
LanguageEnglish
Published Dr. R.K. Sharma 01.01.2014
Subjects
Acute Myocardial Infarction
Cardiac Temponade
Ventricular Wall Rupture
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Summary:Ventricular wall rupture occurs in 1–3% cases with acute myocardial infarction (AMI) and is the third most common cause of death caused by AMI. This most sever mechanical complication of the AMI often remains undiagnosed and constitute a necropsy finding. Acute free wall rupture complicating AMI is defined as an abrupt and complete transmural rupture of the infracted region, causing cardiac temponade and death within 30 minutes. Ventricular free wall rupture occurs up to ten times more frequently than septal or papillary muscle rupture. The pathophysiological process involves thinning of the myocardial wall with the intensity of necrosis occurring at the terminal end of the vessel (watershed area) where there is often poor collateral flow. Here we described in brief about this fatal complications presentation, pathophysiology and diagnosis.
ISSN:0971-720X
0974-1283
DOI:10.5958/j.0974-1283.14.1.046