title: Milking-Like Effect as the First Clue of Left Ventricular Free Wall Rupture.
abstract: Left ventricular free wall rupture (FWR) is a rare but dreadful complication after acute myocardial infarction (AMI). A coronary "milking-like" effect has been previously related to ventricular pseudoaneurysm or true aneurysm but not yet with other mechanical complications such as left ventricular FWR. We describe 2 patients with AMI showing a coronary milking-like effect in the infarct-related artery at the time of primary percutaneous coronary intervention. Left ventricular FWR eventually developed and the patients died. We propose that a coronary milking-like effect in the infarct-related artery is a marker of patients at high risk for this life-threatening mechanical complication.
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Teresa
authors.initials: T
authors.lastname: Bastante
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Rivero
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Cuesta
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: María Cruz
authors.initials: MC
authors.lastname: Aguilera
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Rodríguez
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Amparo
authors.initials: A
authors.lastname: Benedicto
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain. Electronic address: falf@hotmail.com.
authors.forename: Fernando
authors.initials: F
authors.lastname: Alfonso
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002305:Cardiac Tamponade / Q000209:etiology; D017023:Coronary Angiography; D017809:Fatal Outcome; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis* / Q000209:etiology; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology; D000072657:ST Elevation Myocardial Infarction / Q000150:complications*; D013599:Systole; D020107:Troponin T / Q000097:blood
chemical_list: D020107:Troponin T