Abstract:
RATIONALE:Ventricular double rupture (VDR) is a rare but lethal mechanical complication of acute myocardial infarction (AMI). The early identification and timely treatment of VDR remain challenging problems. We present a case of AMI with VDR and briefly review the characteristics and prognosis of this life-threatening disease. PATIENT CONCERNS AND DIAGNOSES:A 77-year-old male presented to our hospital with a 4-day history of severe dizziness, mild chest tightness, and dyspnea. An inferior AMI was diagnosed. INTERVENTIONS AND OUTCOMES:On the second hospital day, hypotension and a new cardiac murmur was found. The emergency echocardiographic study disclosed a ventricular septal defect. Soon after that the patient suddenly died of ventricular free-wall rupture. LESSONS:In patients with AMI complicated by a septal perforation in the apical region, close to the septum-free wall junction, special attention should be paid to the great risk of VDR. Other high risk factors included advanced age, delayed reperfusion, and inferior infarction. Sufficient evaluation of the risk factors, close monitoring of vital signs, early identification of the specific symptoms, and timely treatment are the key points for the effective prediction and prevention of VDR.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Chen SJ,Zhang C,Meng QT,Peng Y,Chen Mdoi
10.1097/MD.0000000000005757subject
Has Abstractpub_date
2016-12-01 00:00:00pages
e5757issue
52eissn
0025-7974issn
1536-5964pii
00005792-201612300-00048journal_volume
95pub_type
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