Abstract

SOLIS, Claudio; PUJOL, Daniel  and  MAURO, Víctor. Left Ventricular Free-Wall Rupture After Acute Myocardial Infarction. Rev. argent. cardiol. [online]. 2009, vol.77, n.5, pp.395-404. ISSN 1850-3748.

Thrombolytic therapy and primary angioplasty have modified the management, evolution and prognosis of acute myocardial infarction; however, mortality from left ventricular free-wall rupture still remains extremely high. The occurrence of this complication is sudden and catastrophic in most patients, and is characterized by cardiac tamponade, electromechanical dissociation and immediate death; however, approximately one third of patients present subacute cardiac rupture with sustained hypotension and pericardial effusion of diverse sizes that allow the implementation of therapeutic measures as a bridge to surgery with repair of the myocardial rupture. In this paper, we provide an update on the clinical and echocardiographic features of patients with left ventricular free-wall rupture complicating an acute myocardial infarction in order to highlight the key diagnostic points and increase the clinical suspect of a severe condition that is not always fatal.

Keywords : Myocardial Infarction; Heart Rupture; Heart Ventricles.

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