Lateral left ventricular wall rupture following acute myocardial infarction: pathophysiological interpretation by multimodality imaging approach

Echocardiography. 2014 Nov;31(10):E296-9. doi: 10.1111/echo.12727. Epub 2014 Aug 4.

Abstract

Lateral left ventricular wall rupture (LVWR) is a rare complication following acute myocardial infarction (AMI) less than 1%. After cardiogenic shock, LVWR constitutes the most common cause of in-hospital death in AMI patients. Around 40% of all LVWR occurred during the first 24 hours and 85% within the first week. In the present case, 76 hours following the intervention, LVWR was observed likely due to a small infarction at the lateral left ventricular wall possibly due to the marginal lesion. Our patient refused surgery and was followed clinically. Eighteen months later, real time three-dimensional echocardiography showed a pseudoaneurysm.

Keywords: acute myocardial infarction; echocardiogram; multimodality imaging; ventricular wall rupture.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnosis*
  • Aneurysm, False / etiology
  • Angioplasty, Balloon, Coronary / methods
  • Coronary Angiography / methods
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / therapy
  • Echocardiography / methods
  • Echocardiography, Doppler, Color / methods
  • Echocardiography, Three-Dimensional / methods
  • Follow-Up Studies
  • Heart Rupture, Post-Infarction / complications
  • Heart Rupture, Post-Infarction / diagnosis*
  • Heart Rupture, Post-Infarction / therapy
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / pathology
  • Humans
  • Magnetic Resonance Imaging, Cine / methods
  • Monitoring, Physiologic / methods
  • Multimodal Imaging / methods*
  • Myocardial Infarction / complications
  • Myocardial Infarction / diagnostic imaging*
  • Myocardial Infarction / therapy
  • Risk Assessment
  • Time Factors
  • Treatment Refusal