title: Double heart rupture after acute myocardial infarction: a case report.
abstract: BACKGROUND
  Double heart rupture is a rare complication of acute myocardial infarction with high mortality.
  
  
  METHODS
  We presented a 67-year-old female patient with symptoms and signs of myocardial infarction, diagnosed with echocardiography, rupture of the septum, the presence of a thrombus and a small pericardial effusion. Soon after admission the patient died. Autopsy revealed tamponade and double myocardial rupture, free wall rupture and ventricular septal rupture, as a cause of death.
  
  
  CONCLUSIONS
  This case highlights the need to evaluate patients with myocardial infarction, recurrent chest pain, echocardiographic signs of effusion and the presence of thrombus in the pericardium in terms of double rupture of the heart.
authors: Igor
authors: I
authors: Ivanov
authors: Aleksandra
authors: A
authors: Lovrenski
authors: Jadranka
authors: J
authors: Dejanović
authors: Milovan
authors: M
authors: Petrović
authors: Robert
authors: R
authors: Jung
authors: Violetta
authors: V
authors: Raffay
mesh_terms: D000208:Acute Disease; D000368:Aged; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000209:etiology*