Key result
Emergent surgical repair fails to prevent death from acute LV rupture complicating posterior MI.
Case Report (n=1)
Highlights a rare presentation of left ventricular free wall rupture following a posterior wall myocardial infarction, initially presenting with junctional escape rhythm.
Posterior free wall rupture after MI remains possible though rare; extends anatomic spectrum but leaves open questions on incidence and risk.
Free wall rupture, the most fearful complication of myocardial infarction, mostly attacks anterior walls. Acute rupture is characterized by rapid development of mechanical arrest accompanied with bradyarrhythmia or electromechanical dissociation. The majority of patients succumb to death as the result of cardiac tamponade. Risk factors are advanced age, female gender, the first-time myocardial infarction, hypertension, and ST-segment elevation. We report a rare case of posterior wall myocardial infarction complicated with left ventricular rupture initially presenting with junctional escape rhythm.
No takes yet. Share an insight, caveat, or question.
Huang et al. (2010) conducted a case report in Posterior wall myocardial infarction with left ventricular rupture (n=1). Surgical repair and extracorporeal membrane oxygenation was evaluated on Clinical outcome. An 81-year-old man with posterior wall myocardial infarction complicated by acute left ventricular rupture died 28 hours after initial chest pain despite emergent surgical repair.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: