Key result
Emergent CT with intravenous contrast successfully identified a left ventricular free-wall rupture and active bleeding in a patient presenting with cardiogenic shock.
Case Report (n=1)
No
Emergent CT with intravenous contrast can serve as a valuable adjuvant tool to echocardiography for diagnosing post-infarction left ventricular free-wall rupture and excluding aortic dissection in patients presenting with cardiogenic shock.
May aid echo in select cardiogenic shock cases; single case report leaves open broader adoption.
Left ventricular free wall rupture is usually a catastrophic mechanical complication of myocardial infarction. Risk factors include advanced age, female gender and absence of prior infarction. The vast majority of patients succumb rapidly due to cardiac tamponade and electromechanical dissociation. Expedited and accurate diagnosis can improve the chances of survival. Echocardiography has been advocated as the gold standard for diagnosis, but other imaging modalities can provide valuable information in these patients. We present the case of a patient who presented with cardiogenic shock, in which the definitive diagnosis of a left ventricular free wall rupture was accomplished by CT scan with intravenous contrast.
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Jorge A Brenes (2012) conducted a case report in Post-infarction left ventricular free-wall rupture (n=1). Computed tomography (CT) with intravenous contrast was evaluated on Diagnosis of left ventricular free-wall rupture. Emergent CT with intravenous contrast successfully identified a left ventricular free-wall rupture and active bleeding in a patient presenting with cardiogenic shock.
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