We report a case of fatal cardiac rupture occurring during intraarterial thrombolytic therapy for acute embolic stroke in a patient with recent myocardial infarction.

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...

Left ventricular aneurysm (LVA) and false aneurysm are complications of acute myocardial infarction, trauma, and cardiac surgery. Left ventricular false aneurysm (LVFA) is a particularly catastrophic complication owing to its high propensity for rupture. Surgical resection should be considered for LVFA occurring within three months after myocardial infarction or development of congestive heart ...

Coronary artery aneurysm is commonly de ined as a localized dilatation exceeding the diameter of adjacent normal coronary segments by 50% [1]. Coronary artery aneurysms may be fusiform, involving the full circumference of the coronary artery, or saccular, involving only a portion of the circumference [2]. Causes of coronary artery aneurysms include atherosclerosis (accounting for 50% of cases),...

We present the first case of left ventricular (LV) rupture after myocardial infarction treated with only extracorporeal membrane oxygenation (ECMO). Magnetic resonance imaging (MRI) scans after treatment revealed good ventricular function and a healed rupture. We show for the first time the use of ECMO as a means of supporting a patient with LV rupture without surgery. Furthermore, it has the p...

A diagnosis of myocardial infarction is made using a combination of clinical presentation, electrocardiogram and cardiac biomarkers. However, myocardial infarction can be caused by factors other than coronary artery plaque rupture and thrombosis. We describe an interesting case presenting with hypertensive emergency and type 2 myocardial infarction resulting from Pheochromocytoma associated wit...

introduction left ventricular free wall rupture (lvfwr) is a frequent cause of death after acute myocardial infarction, and its repair remains a surgical challenge. conclusions a hemodynamic study was acceptable at a 12-month follow-up, and no complication was seen. case presentation tachosil® is a ready-to-use equine collagen patch which has been successfully used for hemostasis in cardiovascu...

A 56-year-old man died suddenly at Yale-New Haven Hospital six weeks after experiencing a myocardial infarct and subsequent left ventricle aneurysm formation. Clinical course, treatment, radiologic data, and pathologic findings are examined. Differential diagnosis for this patient's sudden demise include cardiac rupture with cardiac tamponade, extension of the myocardial infarct, and massive pu...

Ventricular septal rupture (VSR) is a well-described and potentially fatal complication of acute myocardial infarctions. In the era of early reperfusion therapy, the incidence has been on the decline. We describe a case of delayed presentation inferior myocardial infarction complicated by VSR requiring early surgery and review our center's experience.