This case highlights the lethality of left ventricular free wall rupture as a complication of acute myocardial infarction and emphasizes the critical need for prompt diagnosis and management.
Fatal post-thrombolysis LVFWR underscores need for rapid TTE; case report leaves open optimal prevention and intervention timing.
Left ventricular free wall rupture (LVFWR) is a rare, yet lethal, complication of acute myocardial infarction (AMI), occurring in approximately 2% of cases. In the era of percutaneous coronary intervention, however, it is less frequently encountered. We were confronted with a case of AMI complicated with LVFWR after receiving thrombolytic therapy. The diagnosis was established using transthoracic echocardiography (TTE). Unfortunately, the patient passed away before surgical intervention. This case demonstrates the importance of prompt diagnosis and management of such a lethal complication.
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Abdelnaby et al. (2017) studied this question.
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