Key result
A 69-year-old woman with a contained left ventricular free wall rupture without pericardial effusion following acute MI succumbed to her condition despite surgical exploration.
Why the study?
Left ventricular free wall rupture can occasionally present as a contained rupture rather than with pericardial effusion and tamponade, leading to diagnostic delays.
Population
A 69-year-old woman in cardiogenic shock following posterior STEMI
Design
Case report
Authors
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High suspicion needed for atypical contained LV rupture without effusion; single case leaves management strategies open.
Case Report (n=1)
Left ventricular free wall rupture can present atypically as a contained rupture without pericardial effusion, requiring high clinical suspicion and rapid multidisciplinary management.
Hilu et al. (2025) conducted a case report in Left ventricular free wall rupture following acute myocardial infarction (n=1). Surgical exploration was evaluated on Clinical outcome. A 69-year-old woman with a contained left ventricular free wall rupture without pericardial effusion following acute MI succumbed to her condition despite surgical exploration.
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