Subacute cardiac rupture complicating myocardial infarction. A case report

The authors have focused this study on the emergence of subacute ventricular free wall rupture in a seventy-six-year-old patient admitted to hospital for inferior acute myocardial infarction. After six days he showed clinical signs of bradycardia and hypotension evolving to electromechanical dissoci...

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Bibliographic Details
Published inAngiology Vol. 47; no. 2; p. 189
Main Authors Rosato, G, Santomauro, M, Stanco, G, Petillo, F, Sauro, R, Chiariello, M, Spampinato, N, Rotiroti, D
Format Journal Article
LanguageEnglish
Published United States 01.02.1996
Subjects
Aged
Bradycardia - etiology
Echocardiography
Electrocardiography
Heart Rupture, Post-Infarction - diagnosis
Humans
Hypotension - etiology
Male
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Summary:The authors have focused this study on the emergence of subacute ventricular free wall rupture in a seventy-six-year-old patient admitted to hospital for inferior acute myocardial infarction. After six days he showed clinical signs of bradycardia and hypotension evolving to electromechanical dissociation. Given an adequate pharmacologic therapy, the patient was submitted to echocardiography, which was believed to be consistent with myocardial rupture, showing a moderate to large pericardial effusion. Pericardiocentesis of 150 mL of bloody fluid resulted in a further improvement in his hemodynamics. The patient underwent cardiac surgery with repair of the myocardial rupture through a large diaphragmatic infarction by a Dacron polyester fiber graft and pacemaker placement. In conclusion the authors confirm the relevant role of clinical data such as persistent chest pain and hemodynamic instability and the value of echocardiography in identifying subacute myocardial free wall rupture after an episode of acute myocardial infarction.
ISSN:0003-3197
DOI:10.1177/000331979604700211