title: Lateral left ventricular wall rupture following acute myocardial infarction: pathophysiological interpretation by multimodality imaging approach.
abstract: Lateral left ventricular wall rupture (LVWR) is a rare complication following acute myocardial infarction (AMI) less than 1%. After cardiogenic shock, LVWR constitutes the most common cause of in-hospital death in AMI patients. Around 40% of all LVWR occurred during the first 24 hours and 85% within the first week. In the present case, 76 hours following the intervention, LVWR was observed likely due to a small infarction at the lateral left ventricular wall possibly due to the marginal lesion. Our patient refused surgery and was followed clinically. Eighteen months later, real time three-dimensional echocardiography showed a pseudoaneurysm.
authors.affiliation: Cardiovascular Institute of Buenos Aires, Buenos Aires, Argentina.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Avegliano
authors.forename: Diego
authors.initials: D
authors.lastname: Conde
authors.forename: María Isabel
authors.initials: MI
authors.lastname: González Ruiz
authors.forename: Paola
authors.initials: P
authors.lastname: Kuschnir
authors.forename: Agustina
authors.initials: A
authors.lastname: Sciancalepore
authors.forename: Florencia
authors.initials: F
authors.lastname: Castro
authors.forename: Ricardo
authors.initials: R
authors.lastname: Ronderos
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D004452:Echocardiography / Q000379:methods; D018618:Echocardiography, Doppler, Color / Q000379:methods; D019560:Echocardiography, Three-Dimensional / Q000379:methods; D005500:Follow-Up Studies; D006342:Heart Rupture, Post-Infarction / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods; D008991:Monitoring, Physiologic / Q000379:methods; D064847:Multimodal Imaging / Q000379:methods*; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D018570:Risk Assessment; D013997:Time Factors; D016312:Treatment Refusal
keywords: acute myocardial infarction; echocardiogram; multimodality imaging; ventricular wall rupture