Impending myocardial rupture: is an early surgical treatment enough?
A 53-year-old man with a high-risk cardiovascular profile presented to the emergency department for a subacute myocardial infarction with signs and symptoms suggesting impending myocardial rupture. The case seemed to be resolved by an early successful surgical intervention. At 6-month follow-up, after repeated cycles of cardiac rehabilitation, the echocardiography revealed a pseudo-aneurysm of the apex and a left-to-right shunt through an inter-ventricular septum defect. The patient needed a new surgical intervention to repair this unexpected complication.
Scienze Cardiologiche, Toraciche E Vascolari, Azienda Ospedaliera Di Padova, Padova, Italy.
Davide
D
Lanzellotti
Filippo
F
Marzot
Cosimo
C
Guglielmi
Marco
M
Panfili
D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging; D012008:Recurrence