O NE of the fatal complications of acute myocardial infaretion is rupture of the affected ventricular niyoeardium. The free wall of the left ventricle is the region usually involved, and sudden death occurs due to acute cardiac tamponade. Occasionally the interventricular septum is perforated, and the clinical signs are characteristic. Recognition of septal perforation may permit utilization of...

Left ventricular free wall rupture is a dramatic complication of myocardial infarction. Sub-acute rupture may be compatible with life for several days or even longer. We present a simple and effective technique of construction of a conical apical patch, Chinese-hat, which was applied successfully to the infracted left ventricular (LV) apex with surgical glue, without using cardiopulmonary bypas...

Cardiac rupture during stress testing is uncommon and rarely reported, with less than ten cases described in the scientific literature. We present a patient with left ventricular free wall rupture one week after a nontransmural acute myocardial infarction (AMI), when undergoing conventional stress testing. A 70-year-old man, ex-smoker, with no other cardiovascular risk factors, was admitted in ...

Left ventricular wall rupture after acute myocardial infarction (MI) is a fatal complication with the risk of sudden cardiac death. Such contained rupture presents as aneurysmal dilatation of ventricular wall on echocardiography. Pseudoaneurysm with contained rupture sealed by pericardium needs early surgical intervention. Here, the authors present similar case mimicking as pseudoaneurysm on ec...

fractions and congestive heart failure. Il-forming pathways in normal and failing human hearts Circ Res 1990; 66: 883-90. [3] Urata H, Boehm KD, Philip A et al. Cellular localization and regional distribution of an angiotensin Il-forming chymase in the heart. el al. Progression of left ventricular dysfunction during enalapril therapy: relationship with neuro-hormonal reac-tivation. Myocardial f...

Left ventricular free wall rupture (LVFWR) is a serious complication of myocardial infarction. It presents with a very high mortality rate and can be rescued by accurate diagnosis and emergency surgery. LVFWR can occur with sudden overt clinical symptoms or present insidiously. This report highlights the case of a man with no prior history of coronary artery disease, who presented with LVFWR an...

In 100 patients with acute myocardial infarction the electrocardiogram was continuously registered during 72 hours. Nine patients died of ventricular rupture (eight of the left ventricular free wall and one of the ventricular septum). In eight cases death occurred while the electrocardiogram was being recorded. A specific pattern of electrocardiographic changes seems to occur during acute tampo...