Complex Self-Repair Of Postinfarction Ventricular Wall Rupture

Abstract

Left ventricular free wall rupture is a known complication of myocardial infarction. It is often fatal because of late diagnosis or complicated emergency surgical procedure. We here describe a rare case of self-repair of a posterior wall rupture following left circumflex artery acute occlusion with unique pathological findings. The patient came to our observation two months later the acute episode. The lesion was self-repaired by the formation of a thin-layered pseudoaneurysm and a crescent-like, thick-capsulated haematoma surrounding the whole left ventricle. The haematoma severely impaired left ventricular function acting like a monoventricular constrictive pericarditis. The patient underwent successful surgical procedure of direct suture of the myocardial tear associated to coronary artery revascularization. “Wheresoever you go, go with all your heart” Confucius