What does this research mean for the field?

Prompt surgical management of contained left ventricular free wall rupture post-myocardial infarction can successfully prevent fatal outcomes. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the clinical presentation, preoperative hemodynamic stabilization, and surgical repair of a late-presenting contained left ventricular free wall rupture following myocardial infarction.

February 21, 2026Clinical Case ReportsOpen Access

Successful Management of Contained Left Ventricular Free Wall Rupture Associated With Myocardial Infarction

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Key result

Prompt surgical repair of contained LV free wall rupture post-MI saves a 61-year-old patient.

Key Points

To describe the clinical presentation, preoperative hemodynamic stabilization, and surgical repair of a late-presenting contained left ventricular free wall rupture following myocardial infarction.
Evaluated a 61-year-old female presenting with chest discomfort and dyspnea 2 months after an anterior myocardial infarction using electrocardiography and echocardiography.
Stabilized hemodynamic status preoperatively using an intra-aortic balloon pump (IABP) followed by on-pump endocavitary repair of the pseudoaneurysm with a gel seal graft.
Assessed post-repair recovery using serial bedside echocardiography, tissue Doppler imaging at day 10 and prior to discharge, and follow-up visits up to 18 months.
Initial echocardiography demonstrated an ejection fraction of 30%–35%, mild aortic insufficiency, moderate mitral regurgitation, and contained rupture of the apex and apical-lateral wall.
Endocavitary patch repair achieved complete closure without residual leakage, and tissue Doppler imaging prior to discharge demonstrated improved ejection fraction of 40%–45%.
At 18 months post-surgery, follow-up echocardiography documented an ejection fraction of 45% with normal left ventricular size and mild tricuspid regurgitation.

Structured PICO

Population

61-year-old female patient with a history of ischemic heart disease, diabetes mellitus, hypertension, hyperlipidemia, and an anterior MI 2 months prior, presenting with contained left ventricular free wall rupture (n=1).

Intervention

On-pump endocavitary repair of left ventricular pseudoaneurysm with gel seal graft, femoral cannulation, and adhesiolysis, supported by an intra-aortic balloon pump (IABP).

Outcome

Survival and clinical recovery after surgical repair

The visceral pericardium can act as a protective layer in left ventricular free wall rupture, allowing for delayed presentation and successful surgical management even two months post-myocardial infarction.

Discussion

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Implication

Prompt surgical repair may enable survival in contained LV free wall rupture even months post-MI; single case leaves generalizability open.

Cite This Study

Azizkhani et al. (2026) studied this question. Prompt surgical management of contained left ventricular free wall rupture post-myocardial infarction prevented fatal outcomes in a 61-year-old patient.

synapsesocial.com/papers/69994c14873532290d02038d https://doi.org/10.1002/ccr3.72087

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Implication

Prompt surgical repair may enable survival in contained LV free wall rupture even months post-MI; single case leaves generalizability open.

Successful Management of Contained Left Ventricular Free Wall Rupture Associated With Myocardial Infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Successful Management of Contained Left Ventricular Free Wall Rupture Associated With Myocardial Infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

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