Sudden death due to ventricular double rupture as a complication of inferior acute myocardial infarction: A case report.

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

Medicine

authors

Chen SJ,Zhang C,Meng QT,Peng Y,Chen M

doi

10.1097/MD.0000000000005757

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

e5757

issue

52

eissn

0025-7974

issn

1536-5964

pii

00005792-201612300-00048

journal_volume

95

pub_type

杂志文章

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