Abstract

Acute myocardial infarction may determine in a low percentage of cases (<1%) mechanical complications that have an increased early and late mortality. The main acute mechanical complications of acute myocardial infarction are the ventricular septal rupture, free wall rupture, and ischemic mitral regurgitation. A rapid diagnosis is mandatory, and it is made by echocardiography. Surgical repair is in most cases performed immediately after diagnosis, and postoperative mortality is high in ventricular septal and free wall ruptures.

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