Rupture of the ventricular septum, a rare but potentially fatal complication acute myocardial infarction, is usually observed in setting infarction associated with major coronary artery occlusion. It often accompanied by severe circulatory failure. In this paper we describe case 70-year-old lady who presented cardiogenic shock 7 days after and was found to have septal rupture.
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After his first acute myocardial infarction, a 69-year-old male suffered the usually lethal complication of ventricular free-wall rupture. Early suspicion of possible rupture and immediate percutaneous insertion of an intraaortic balloon pump assist device afforded sufficient hemodynamic stability to proceed with cardiac catheterization. The diagnosis of ventricular free-wall rupture was confir...

After his first acute myocardial infarction, a 69-year-old male suffered the usually lethal complication of ventricular free-wall rupture. Early suspicion of possible rupture and immediate percutaneous insertion of an intraaortic balloon pump assist device afforded sufficient hemodynamic stability to proceed with cardiac catheterization. The diagnosis of ventricular free-wall rupture was confir...

A 69-year-old man with a 2-day history of chest pain was admitted to our hospital. His ECG was consistent with acute coronary syndrome (Figure 1A) and troponin I was elevated ( 50 ng/mL). Coronary angiography showed a totally occluded circumflex with extensive intraluminal thrombus but no other obstructive disease (Figure 1B). Because the chest pain had completely resolved and this was a late-p...

BACKGROUND In patients with inferior myocardial infarction, septal rupture generally involves basal inferoposterior septum, and the communicating tract between left and right ventricle is often serpiginous with a variable degree of right ventricular wall extension. Right ventricular wall dissection following septal rupture related with previous myocardial infarction has been reported in a very ...

OBJECTIVE To evaluate the prevalence of plaque erosion as a substrate for coronary thrombosis. DESIGN Pathological study in patients with acute myocardial infarction not treated with thrombolysis or coronary interventional procedures. PATIENTS 298 consecutive patients (189 men, mean (SD) age 66 (11) years; 109 women, 74 (8) years) dying in hospital between 1984 and 1996 from acute myocardia...

Well-documented potential cardiovascular complications associated with the use of contrast media include bradycardia, hypotension, arrhythmia, and conduction disturbances. Rupture of the myocardium after acute myocardial infarction is a known cause of death, but has yet to be recognised as a potential complication of the use of a bolus injection of contrast medium. On the contrary, contrast-enh...