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.
© 2014, Wiley Periodicals, Inc.
MeSH terms
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Aneurysm, False / diagnosis*
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Aneurysm, False / etiology
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Angioplasty, Balloon, Coronary / methods
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Coronary Angiography / methods
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Coronary Stenosis / diagnostic imaging
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Coronary Stenosis / therapy
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Echocardiography / methods
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Echocardiography, Doppler, Color / methods
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Echocardiography, Three-Dimensional / methods
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Follow-Up Studies
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Heart Rupture, Post-Infarction / complications
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Heart Rupture, Post-Infarction / diagnosis*
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Heart Rupture, Post-Infarction / therapy
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Heart Ventricles / diagnostic imaging
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Heart Ventricles / pathology
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Humans
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Magnetic Resonance Imaging, Cine / methods
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Monitoring, Physiologic / methods
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Multimodal Imaging / methods*
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Myocardial Infarction / complications
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Myocardial Infarction / diagnostic imaging*
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Myocardial Infarction / therapy
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Risk Assessment
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Time Factors
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Treatment Refusal