Key result
Conservative management, including medical therapy and pericardiocentesis, resulted in survival and good clinical recovery in two patients with right ventricular free wall rupture following acute myocardial infarction.
Why the study?
Isolated right ventricular free wall rupture after acute myocardial infarction is rare with high mortality, and survival following conservative management is extremely rare.
Does conservative treatment improve survival in patients with right ventricular free wall rupture after acute myocardial infarction?
Case Report (n=2)
Does conservative treatment improve survival in patients with right ventricular free wall rupture after acute myocardial infarction?
Conservative management, including pericardiocentesis and medical therapy, can be a viable and life-saving strategy for hemodynamically stable patients with subacute right ventricular free wall rupture after acute myocardial infarction.
May permit survival with conservative management in rare isolated RVFWR post-STEMI; leaves open optimal strategy pending further evidence.
Cardiac rupture is a rare but fatal complication of acute myocardial infarction (AMI), often with devastating hemodynamic consequences. Although the incidence has been reduced with the practice of reperfusion therapy, it still carries a high mortality rate of over 50%. Isolated right ventricular free wall rupture (RVFWR) is a rare entity with very few previously reported cases, and survival after RVFWR due to ST-segment elevation myocardial infarction (STEMI) treated with a conservative therapeutic strategy is extremely rare. Here, we presented two cases of RVFWR secondary to AMI, treated conservatively and survived.
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Qady et al. (2022) conducted a case report in Right ventricular free wall rupture after acute myocardial infarction (n=2). Conservative treatment (medical management and pericardiocentesis) was evaluated on Survival and clinical recovery. Conservative management, including medical therapy and pericardiocentesis, resulted in survival and good clinical recovery in two patients with right ventricular free wall rupture following acute myocardial infarction.
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