Double myocardial rupture as a mechanical complication of an acute infarction

Mario Ramón García-Arias; Benjamín Pozos-Vergara; Nadia del Carmen González-Fernández; Francisco Javier Rangel-Rojo; Eros Osiris Balam-Ortiz

2019, Number 4

<< Back Next >>

Med Int Mex 2019; 35 (4)

Double myocardial rupture as a mechanical complication of an acute infarction

García-Arias MR, Pozos-Vergara B, González-Fernández NC, Rangel-Rojo FJ, Balam-Ortiz EO

Full text

How to cite this article

Language: Spanish
References: 0
Page: 619-626
PDF size: 683.27 Kb.

ABSTRACT

The complications of acute myocardial infarction are classified in mechanical, electrical, ischemic, embolic and inflammatory. The main mechanical complications are free wall rupture, papillary muscle and ventricular septal rupture. Its incidence is less than 1% and has decreased with the introduction of percutaneous coronary intervention as the main reperfusion strategy. This article presents a clinical case of a 64-year-old female that arrived to emergency room with thoracic pain, due to an acute coronary syndrome: ST-elevation myocardial infarction (STEMI); with a clinical deterioration presenting a double myocardial rupture. Clinical approach and bibliographic review are reported, the incidence estimation of this disorder is only 0.3% of the reported clinical cases.