Abstract
Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction (MI). We report a case of a 73-year-old male who developed LVFWR five days after a transmural MI. The diagnosis was confirmed with echocardiography, which showed a large pericardial effusion with a clot in the pericardial sac. This case emphasizes that a high index of clinical suspicion for the acute mechanical complications of MI should be present when managing patients with transmural MIs. In addition, stat echocardiography is necessary to diagnose LVFWR and initiate treatment.
Highlights
Myocardial infarction (MI) is complicated by left ventricular free wall rupture (LVFWR) and pericardial tamponade in 2%-4% of the cases [1]
We report a case of a 73-year-old male who developed Left ventricular free wall rupture (LVFWR) five days after a transmural myocardial infarction (MI)
This case emphasizes that a high index of clinical suspicion for the acute mechanical complications of MI should be present when managing patients with transmural MIs
Summary
Myocardial infarction (MI) is complicated by left ventricular free wall rupture (LVFWR) and pericardial tamponade in 2%-4% of the cases [1]. The patients present either with a cardiac arrest, chest pain, and/or arrhythmias. The. How to cite this article Khalid S, Seepana J, Sundhu M, et al (August 25, 2017) Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction. The patient was returned to the recovery room in a stable condition He was started on atorvastatin, metoprolol, and dual antiplatelet therapy. On Day 5 of his hospital stay, a cardiac arrest occurred, with initial pulseless electrical activity on telemetry He had a return of spontaneous circulation after two cycles of cardiopulmonary resuscitation (CPR) and was started on norepinephrine for hypotension. The patient passed away five hours after the onset of his symptoms
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