Papillary muscle rupture is a lethal complication of after acute myocardial infarction. We report the successful surgical management of complete anterolateral papillary muscle rupture associated with cardiogenic shock in an 80-year-old woman. The patient was admitted with the sudden onset of chest pain and dyspnea. After hemodynamics deteriorated rapidly, she was intubated and intra-aortic ball...

Rupture of the left ventricular myocardium during the course of an acute myocardial infarction may affect the free wall, the interventricular septum, or the papillary muscles. When a rupture occurs, it is referred to as a mechanical complication of acute myocardial infarction. All mechanical complications may lead to cardiogenic shock. However, the location of the rupture can often be suspected...

T he debate about the advantages of fibrinolytic therapy or primary percutaneous coronary angioplasty (PCI) as a superior reperfusion strategy for ST-elevation myocardial infarction (STEMI) has continued for 30 years. In the first decade, primary PCI was limited by first-generation equipment, inadequate radiographic imaging systems, suboptimal adjunctive antithrombotic therapy, and delays in ti...

RUPTURE of the free wall of the heart has been reported to be the cause of death in 4-13% of fatal cases of acute myocardial infarction.' The incidence of this fatal complication is second only to cardiogenic shock and arrhythmias as a cause of death.2 Recent success with acute revascularization in the surgical management of cardiogenic shock, similar success with infarctectomy and direct repai...

RUPTURE of the free wall of the heart has been reported to be the cause of death in 4-13% of fatal cases of acute myocardial infarction.' The incidence of this fatal complication is second only to cardiogenic shock and arrhythmias as a cause of death.2 Recent success with acute revascularization in the surgical management of cardiogenic shock, similar success with infarctectomy and direct repai...

This study aimed to analyze the clinical course, timing of rupture and relationship with percutaneous coronary intervention (PCI) in patients with cardiac free wall rupture (FWR) following acute myocardial infarction (AMI). FWR was observed in 77 (2.3%) of 3, 284 patients with AMI in our CCU over 28 years. 47 (61.0%) cases were male and mean of age was 69.8 year old. Rupture occurred on Day 1 o...