OJIM  Vol.2 No.2 , June 2012
Combination of several rare complications of myocardial infarction in a single patient
Abstract: There are three major mechanical complications of acute myocardial infarction: rupture of the left ventricular free wall, rupture of the interventricular septum, and development of mitral regurgitation. Each of these complications is associated with extremely high mortality. Reviewing the scientific literature, we found descriptions of sporadic cases of both of those complications combined. We report an unusual case of simultaneous rupture of free wall and interventricular septum.
Cite this paper: Fishman, E. , Blaer, Y. , Katz, A. and Yosefy, C. (2012) Combination of several rare complications of myocardial infarction in a single patient. Open Journal of Internal Medicine, 2, 80-82. doi: 10.4236/ojim.2012.22016.

[1]   Roques, F., Nashef, S.A., Michel, P., Gauducheau, E., De Vincentiis, C., Baudet, E., Cortina, J., David, M., Faichney, A., Gabrielle, F., Gams, E., Harjula, A., Jones, M.T., Pintor, P.P., Salamon, R. and Thulin, L. (1999) European system for cardiac operative risk evaluation (Euro-SCORE). European Journal of Cardiothoracic Surgery, 6, 9-13.

[2]   Lachapelle, K., De Varennes, B., Ergina, P.L. and Cecere, R. (2002) Sutureless patch technique for postinfarction left ventricular rupture. Annals of Thoracis Surgery, 74, 96-101. doi:10.1016/S0003-4975(02)03581-6

[3]   Iemura, J., Oku, H., Otaki, M., Kitayama, H., Inoue, T. and Kaneda, T. (2001) Surgical strategy for left ventricular free wall rupture after acute myocardial infarction, Annals of Thoracic Surgery, 71, 201-204. doi:10.1016/S0003-4975(00)02211-6

[4]   Aris, A. (2005) Surgical repair of left ventricular free wall rupture. Multimedia Manual of Cardio-Thoracic Surgery, 2005, 167. doi:10.1510/MMCTS.2004.000653

[5]   Pohjola-Sintonen, S., Muller, J.E., Stone, P.H., Willich, S.N., Antman, E.M., Davis, V.G., Parker, C.B. and Braunwald, E. (1989) Ventricular septal and free wall rupture complicating acute myocardial infarction: Experience in the multicenter investigation of limitation of infarct size. American Heart Journal, 117, 809-818. doi:10.1016/0002-8703(89)90617-0

[6]   Svedjeholm, R., H?kanson, E., Lindstr?m, M. and Hjort, P. (2003) Post-infarct left ventricular free wall rupture and ventricular septal defect managed by pericardial aspiration during transport to referral hospital. Interactive Cardiovascular and Thoracic Surgery, 2, 193-195. doi:10.1016/S1569-9293(03)00038-0

[7]   Kalkan, M.E., Arsian, S., Sevimli, S. and Gurlertop, H.Y. (2008) Ventricular double rupture case of long-term survival without surgical repair. European Journal of Echocardiography, 231, 1-3.

[8]   Birnbaum, Y., Fishbein, M.C., Blanche, C. and Siegel, R.J. (2002) Ventricular septal rupture after acute myocardial infarction. New England Journal of Medicine, 347, 1426-1432. doi:10.1056/NEJMra020228

[9]   Crenshaw, B.S., Granger, C.B., Birnbaum, Y., Pieper, K.S., Morris, D.C., Kleiman, N.S., Vahanian, A., Califf, R.M. and Topol, E.J. (2000) GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial investigators. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. Circulation, 101, 27-32.

[10]   Hochman, J.S., Buller, C.E., Sleeper, L.A., Boland, J., Dzavik, V., Sanborn, T.A., Godfrey, E., White, H.D., Lim, J. and LeJemtel, T. (2000) Cardiogenic shock complicating acute myocardial infarction: Etiologies, management and outcome: A report from the SHOCK Trial Registry. Should we emergently revascularize Occluded Coronaries for cardiogenic shock? Journal of the American College of Cardiology, 36, 1063-1070. doi:10.1016/S0735-1097(00)00879-2

[11]   ACC/AHA Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction (2004) A Report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Writing committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). Circulation, 110, 588-636. doi:10.1161/01.CIR.0000134791.68010.FA

[12]   Prêtre, R., Ye, Q., Grünenfelder, J., Lachat, M., Vogt, P.R. and Turina, M.I. (1999) Operative results of “repair” of ventricular septal rupture after acute myocardial infraction. American Journal of Cardiology, 84, 785-788. doi:10.1016/S0002-9149(99)00438-5

[13]   Lemery, R., Smith, H.C., Giuliani, E.R. and Gersh, B.J. (1992) Prognosis in rupture of the ventricular septum after acute myocardial infarctionand role of early surgical intervention. American Journal of Cardiology, 70, 147-151. doi:10.1016/0002-9149(92)91266-7

[14]   Skillington, P.D., Davies, R.H., Luff, A.J., Williams, J.D., Dawkins, K.D., Conway, N., Lamb, R.K., Shore, D.F., Monro, J.L. and Ross, J.K. (1990) Surgical treatment for infarct-related ventricular septal defects: Improved early results combined with analysis of late functional status. Journal of Thoracic and Cardiovascular Surgery, 99, 798-808.

[15]   Bartunek, J., Vanderheyden, M. and De Bruyne, B. (1995) Dynamic left ventricle outflow tract obstruction after anterior myocardial infarction: A potential mechanism of myocardial rupture. European Heart Journal, 16, 1439-1442.

[16]   Helmy, T.A., Nicholson, W.J., Lick, S. and Uretsky, B.F. (2005) Contained myocardial rupture: a variant linking complete and incomplete rupture. Heart, 91, e13. doi:10.1136/hrt.2004.048082

[17]   Pollak, H., Diez, W., Spiel, R., Enenkel, W. and Mlczoch, J. (1993) Early diagnosis of subacute free wall rupture complicating acute myocardial infarction. European Heart Journal, 14, 640-648. doi:10.1093/eurheartj/14.5.640