scholarly journals Post-infarction ventricular septal rupture with a contained right ventricular pseudoaneurysm formation

2021 ◽  
Author(s):  
Giovanni Melina ◽  
Tiziano Polidori ◽  
Damiano Caruso ◽  
Carlotta Rucci ◽  
Giuseppe Tremamunno ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricular ◽  
Mechanical Complication ◽  
Free Wall ◽  
Ventricular Septal Rupture ◽  
Left Ventricular Free Wall ◽  
True Aneurysm ◽  
Pseudoaneurysm Formation ◽  
Pseudo Aneurysm ◽  
The Right

Mechanical complication of acute myocardial infarction (MI), such as left ventricular free-wall or septal rupture, pseudo-aneurysm or true aneurysm, are uncommon but potentially fatal conditions, that require an early diagnosis and management. We describe a case of post-infarction ventricular septal rupture with pseudoaneurysm formation included in the right ventricle.

scholarly journals Contained Left Ventricular Free Wall Rupture following Myocardial Infarction

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Arthur Shiyovich ◽  
Lior Nesher
Keyword(s):  
Myocardial Infarction ◽  
Total Mortality ◽  
Massive Hemorrhage ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Left Ventricular Free Wall ◽  
True Aneurysm ◽  
Pericardial Cavity ◽  
Free Wall Rupture

Rupture of the free wall of the left ventricle occurs in approximately 4% of patients with infarcts and accounts for approximately 20% of the total mortality of patients with myocardial infractions. Relatively few cases are diagnosed before death. Several distinct clinical forms of ventricular free wall rupture have been identified. Sudden rupture with massive hemorrhage into the pericardium is the most common form; in a third of the cases, the course is subacute with slow and sometimes repetitive hemorrhage into the pericardial cavity. Left ventricular pseudoaneurysms generally occur as a consequence of left ventricular free wall rupture covered by a portion of pericardium, in contrast to a true aneurysm, which is formed of myocardial tissue. Here, we report a case of contained left ventricular free wall rupture following myocardial infarction.

scholarly journals Milking effect in coronary angiography due to left ventricular free wall rupture

2020 ◽  
Vol 42 (5) ◽  
pp. 610-614
Author(s):  
Ahmad Separham ◽  
Ali Rostami ◽  
Farzad Ilkhchooyi
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Mechanical Complication ◽  
Primary Pci ◽  
Free Wall ◽  
Left Ventricular Free Wall ◽  
Free Wall Rupture ◽  
Mechanical Complications ◽  
Complications Of Myocardial Infarction

Left ventricular free wall rupture is a potentially fatal complication of myocardial infarction. The prompt diagnosis of this condition is of high clinical importance. The patient, a 45-year-old man, with a history of hypertension and symptoms of chest pain and shock status, was admitted in the emergency department. Due to electrocardiographic changes consistent with myocardial infarction, he was transferred to cath lab for primary angioplasty (PCI). The initial echocardiographic assessment did not indicate any evidence of mechanical complication of myocardial infarction. Clinical condition of the patient did not improve after primary PCI. During the primary PCI, diagnosis of milking effect in the coronary arteries engendered suspicion of potential mechanical complications of myocardial infarction. Re-evaluation by echocardiography revealed left ventricular free wall rupture. Observing milking effect in angiography can be a result of mechanical complications of myocardial infarction.

scholarly journals Survival after Left Ventricular Free Wall Rupture in an Elderly Woman with Acute Myocardial Infarction Treated Only Medically

2012 ◽  
Vol 2012 ◽  
pp. 1-6
Author(s):  
Víctor Hugo Roa-Castro ◽  
Ervin Molina-Bello ◽  
Hector Valenzuela-Suárez ◽  
Tobías Rotberg-Jagode ◽  
Nilda Espinola-Zavaleta
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Left Ventricle ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Left Ventricular Free Wall ◽  
Pseudoaneurysm Formation ◽  
Free Wall Rupture ◽  
First Choice

Pseudoaneurysm of the left ventricle is rare and may occur as a result of transmural myocardial infarction. The course of rupture after acute myocardial infarction varies from a catastrophic event, with an acute tear leading to immediate death (acute rupture), or slow and incomplete tear leading to a late rupture (subacute rupture). Incomplete rupture may occur when the thrombus and haematoma together with the pericardium seal the rupture of the left ventricle and may develop into a pseudoaneurysm. Early diagnosis and treatment is essential in this condition. Two-dimensional color Doppler echocardiography is the first-choice method for most patients with suspected left ventricular pseudoaneurysm (LVP) and suggests left ventricular rupture in 85% to 90% of patients. We report the case of an 87-year-old woman presenting with symptoms and findings of myocardial infarction and left ventricular free wall rupture with a pseudoaneurysm formation diagnosed by echocardiography and confirmed on CT, MRI, and NM. She received only intense medical treatment, because she refused surgery with a favorable outcome. After 24-month followup, she is in NYHA functional class II. The survival of this patient is due to the contained pseudoaneurysm by dense pericardial adhesions, related to her previous coronary bypass surgery.

scholarly journals Left ventricular free wall impeding rupture in post-myocardial infarction period diagnosed by myocardial contrast echocardiography: Case report

2006 ◽  
Vol 4 (1) ◽  
Author(s):  
Maria Luciana Zacarias Hannouche da Trindade ◽  
Jeane Mike Tsutsui ◽  
Ana Clara Tude Rodrigues ◽  
Márcia Azevedo Caldas ◽  
José Antônio Franchini Ramires ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Contrast Echocardiography ◽  
Left Ventricular ◽  
Myocardial Contrast Echocardiography ◽  
Post Myocardial Infarction ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Left Ventricular Free Wall
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