Key result
Emergent surgeries and temporary LV assistance enable survival in a triple cardiac rupture case.
Case Report (n=1)
Prompt bedside diagnosis, emergent surgery, and temporary left ventricular assistance can lead to survival in patients with complex, multiple mechanical complications after acute myocardial infarction.
May support survival with aggressive intervention in rare triple post-MI rupture; leaves open optimal strategies and generalizability.
Left ventricular free wall rupture and acute ischaemic mitral regurgitation are nowadays rare, but still potentially lethal mechanical complications after acute myocardial infarction. We report a case of a sequential left ventricular free wall rupture, anterolateral papillary muscle disruption, secondary severe mitral regurgitation and subsequent posteromedial papillary muscle head rupture in a single patient during the same ischaemic episode after myocardial infarction, and their related successful surgical procedures and management until discharge. Prompt bedside diagnosis and emergent consecutive surgical procedures, as well as temporary left ventricular assistance, were crucial in the survival of this patient.
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Vázquez et al. (2014) conducted a case report in Acute myocardial infarction with mechanical complications (n=1). Emergent surgical procedures and temporary left ventricular assistance was evaluated on Survival to discharge. Prompt bedside diagnosis, emergent consecutive surgical procedures, and temporary left ventricular assistance resulted in the successful survival and discharge of a patient with triple cardiac rupture.
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