[Myocardial rupture after acute myocardial infarct: 2 cases with an unusual clinical presentation]
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abstract
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Myocardial rupture is the second most common reason for in-hospital
mortality in patients with acute myocardial infarction, accounting
for 8-17% of deaths. The clinical presentation varies due to the
possibility of rupture in three main locations: free left
ventricular wall (85%), interventricular septum (10%), and papillary
muscle (5%). Hypotension, long persisting or repeated chest pain,
syncopes, new heart murmurs or weak action should draw attention to
the possibility of myocardial rupture, apart from the classical sign
of upper inflow congestion. In about 48% of cases immediate surgical
intervention can save life. We present two unusual cases of
myocardial rupture. Case 1 shows left ventricular free wall rupture
with additional rupture of an accessory posterior papillary muscle
but without changes in hemodynamic parameters; case 2 involves a
rupture of the free left ventricular wall which the patient survived
without surgical intervention.
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citation
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Ammann P, Rickli H, Angehrn W. [Myocardial rupture after acute
myocardial infarct: 2 cases with an unusual clinical presentation].
Schweizerische medizinische Wochenschrift 1997; 127:1829-34.
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type
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journal paper/review (Translation2::getLang(): unknown language "".
Use Translation2::setLang() to set a default language.)
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date of publishing
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1-11-1997
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journal title
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Schweizerische medizinische Wochenschrift (127/44)
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ISSN print
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0036-7672
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pages
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1829-34
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PubMed
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9446202
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