Korean Circ J.  1999 Jan;29(1):73-78. 10.4070/kcj.1999.29.1.73.

A Case of Early Developed Left Ventricular Free Wall Rupture Followed by Acute Inferior Myocardial Infarction

• Park SC
• Kim JH
• Kim YM
• Kwak SY
• Yoon BO
• Oh HS
• Oh MJ
• Kim WS
• Lee JW
• Hyon MS
• Kim SK
• Kwon YJ
• Jeong YS
• Yum W

• KMID: 1858332
• DOI: http://doi.org/10.4070/kcj.1999.29.1.73

Abstract

Myocardial free wall rupture is the most serious complication of acute myocardial infarction. Although it is not uncommon, it is difficult to treat successfully. We report a case of acute inferior myocardial infarction complicated with left ventricular free wall rupture that occurred 8 hours after onset of chest pain. In this case, progression of mild pericardial effusion to cardiac tamponade was monitored by transhtoracic echocardiography. Pericardiocentesis and draninage failed to treat cardiac tamponade, and surgical repair was performed successfully. The patient discharged uneventfully on 28th day and followed regularly at the outpatient department.

Keyword

Ventricular rupture; Acute myocardial infarction; Echocardiography; Cardiac tamponade; Pericardiocentes

MeSH Terms

Cardiac Tamponade
Chest Pain
Echocardiography
Heart Rupture*
Humans
Inferior Wall Myocardial Infarction*
Myocardial Infarction
Outpatients
Pericardial Effusion
Pericardiocentesis
Rupture