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Healing a Broken Heart: a Case Report of Left Ventricular Free Wall Rupture and Review of the Literature
Roxana Oana DARABONT, Alexandru VASILESCU and Dragos VINEREANU
ABSTRACT
The occurrence of left ventricular free wall rupture in acute myocardial infarction decreased with the extent of interventional procedures of reperfusion, but it is still encountered in 1-2% of these patients. We are presenting the case of a 58 years old male with left ventricular free wall rupture occurred as a late complication of an inferior-lateral ST-elevated myocardial infarction. The aim of this case report is to underline the main clinical features, the diagnostic value of the echocardiographic exam and the importance of early surgical intervention in a rare, but very dangerous condition, with persistent high mortality rates. In this context, we will review the current prevalence, clinical forms and prediction factors of left ventricular free wall rupture.
Keywords: Free wall rupture of the left ventricle, acute myocardial infarction, cardiogenic shock