Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction

Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction (MI). We report a case of a 73-year-old male who developed LVFWR five days after a transmural MI. The diagnosis was confirmed with echocardiography, which showed a large pericardial effusion with a clot...

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Autores principales: Khalid, Sidra, Seepana, Jyothirmai, Sundhu, Murtaza, Maroo, Praful
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656223/
https://www.ncbi.nlm.nih.gov/pubmed/29075588
http://dx.doi.org/10.7759/cureus.1610
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author Khalid, Sidra
Seepana, Jyothirmai
Sundhu, Murtaza
Maroo, Praful
author_facet Khalid, Sidra
Seepana, Jyothirmai
Sundhu, Murtaza
Maroo, Praful
author_sort Khalid, Sidra
collection PubMed
description Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction (MI). We report a case of a 73-year-old male who developed LVFWR five days after a transmural MI. The diagnosis was confirmed with echocardiography, which showed a large pericardial effusion with a clot in the pericardial sac. This case emphasizes that a high index of clinical suspicion for the acute mechanical complications of MI should be present when managing patients with transmural MIs. In addition, stat echocardiography is necessary to diagnose LVFWR and initiate treatment.
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spelling pubmed-56562232017-10-26 Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction Khalid, Sidra Seepana, Jyothirmai Sundhu, Murtaza Maroo, Praful Cureus Internal Medicine Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction (MI). We report a case of a 73-year-old male who developed LVFWR five days after a transmural MI. The diagnosis was confirmed with echocardiography, which showed a large pericardial effusion with a clot in the pericardial sac. This case emphasizes that a high index of clinical suspicion for the acute mechanical complications of MI should be present when managing patients with transmural MIs. In addition, stat echocardiography is necessary to diagnose LVFWR and initiate treatment. Cureus 2017-08-25 /pmc/articles/PMC5656223/ /pubmed/29075588 http://dx.doi.org/10.7759/cureus.1610 Text en Copyright © 2017, Khalid et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Khalid, Sidra
Seepana, Jyothirmai
Sundhu, Murtaza
Maroo, Praful
Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction
title Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction
title_full Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction
title_fullStr Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction
title_full_unstemmed Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction
title_short Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction
title_sort left ventricular free wall rupture in transmural myocardial infarction
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656223/
https://www.ncbi.nlm.nih.gov/pubmed/29075588
http://dx.doi.org/10.7759/cureus.1610
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