Early left ventricular free-wall rupture in non-STEMI never to be neglected.
As the most dramatic and fatal complication, left ventricular free-wall rupture (LVFWR) used to present in approximately 3% of patients with acute myocardial infarction. After the introduction of primary percutaneous coronary intervention, the incidence of LVFWR decreased but remained approximately 1.7%. Left ventricular free-wall rupture occurs in patients with transmural myocardial infarction, which is almost exclusively ST elevation myocardial infarction (STEMI). This condition carries a high mortality as a result of hemopericardium and cardiac tamponade. Left ventricular free-wall rupture rarely occurs in patients with non-ST-elevation myocardial infarction, but the risk of it cannot be ignored. This case describes early development LVFWR after non-ST-elevation myocardial infarction to evoke high vigilance of clinicians to this condition.
Cardiology Division of Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Yen-Ting
YT
Yeh
Cardiovascular Surgery Division of Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan. Electronic address: petere620@yahoo.com.tw.
Chun-Yang
CY
Huang
D000368:Aged; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D004562:Electrocardiography; D017809:Fatal Outcome; D006341:Heart Rupture / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D013908:Thoracotomy