Skip to main content
SpringerLink
Log in

Left ventricular rupture in an anterior wall acute myocardial infarction with severe intra-ventricular gradient

  • Published:
Journal of Thrombosis and Thrombolysis Aims and scope Submit manuscript

Abstract

We report the case of a 72-year-old man with ST-elevation acute myocardial infarction and severe intra-ventricular gradient (>40 mmHg), who died with left ventricular rupture (LVR). We postulate that severe intra-ventricular gradient detectable at admission may be related to subsequent LVR and proposed as a risk factor for LVR.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Yip HK, Wu CJ, Chang HW, Wang CP, Cheng CI, Chua S, Chen MC (2003) Cardiac rupture complicating acute myocardial infarction in the direct percutaneous coronary intervention reperfusion era. Chest 124:565–571

    Article  PubMed  Google Scholar 

  2. Figueras J, Cortadellas J, Calvo F, Soler-Soler J (1998) Relevance of delayed hospital admission on development of cardiac rupture during acute myocardial infarction: study in 225 patients with free wall, septal or papillary muscle rupture. J Am Coll Cardiol 32:135–139

    Article  PubMed  CAS  Google Scholar 

  3. Moreno R, Lopez de SE, Lopez-Sendon JL, García E, Soriano J, Abeytua M, Elízaga J, Botas J, Rubio R, Moreno M, García-Fernández MA, Delcán JL (2000) Frequency of left ventricular free-wall rupture in patients with acute myocardial infarction treated with primary angioplasty. Am J Cardiol 85:757–760

    Article  PubMed  CAS  Google Scholar 

  4. Reardon MJ, Carr CL, Diamond A, Letsou GV, Safi HJ, Espada R, Baldwin JC (1997) Ischemic left ventricular free wall rupture: prediction, diagnosis, and treatment. Ann Thorac Surg 64:1509–1513

    Article  PubMed  CAS  Google Scholar 

  5. da Trindade M, Tsutsui J, Rodrigues A, Caldas M, Ramires J, Mathias W (2000) Left ventricular free wall impeding rupture in postmyocardial infarction period diagnosed by myocardial contrast echocardiography: case report. Cardiovasc Ultrasound 4:7

    Article  Google Scholar 

  6. Tanaka M, Goto Y, Suzuki S, Morii I, Otsuka Y, Miyazaki S, Nonogi H et al (2006) Post-infarction cardiac rupture despite immediate reperfusion therapy in a patient with severe aortic valve stenosis. Heart Vessels 21:59–62

    Article  PubMed  Google Scholar 

  7. Brunetti ND, Ieva R, Rossi G, Barone N, De Gennaro L, Pellegrino PL, Mavilio G, Cuculo A, Di Biase M (2008) Ventricular outflow tract obstruction, systolic anterior motion and acute mitral regurgitation in Tako-Tsubo syndrome. Int J Cardiol 127:e152–e157

    Article  PubMed  Google Scholar 

  8. Akashi YJ, Tejima T, Sakurada H, Matsuda H, Suzuki K, Kawasaki K, Tsuchiya K, Hashimoto N, Musha H, Sakakibara M, Nakazawa K, Miyake F (2004) Left ventricular rupture associated with Takotsubo cardiomyopathy. Mayo Clin Proc 79:821–824

    PubMed  Google Scholar 

  9. Ieva R, Correale M, Brunetti ND, Di Biase M (2009) A “bad” case of Tako-Tsubo syndrome. J Thromb Thrombolysis 28:248–251

    Article  PubMed  Google Scholar 

  10. Zahger D, Milgalter E, Pollak A, Hasin Y, Merin G, Beeri R, Gotsman MS (1996) Left ventricular free wall rupture as the presenting manifestation of acute myocardial infarction in diabetic patients. Am J Cardiol 78:681–682

    Article  PubMed  CAS  Google Scholar 

  11. Rigatelli G, Cardaioli P, Dell’Avvocata F, Giordan M, Roncon L (2008) Peculiar angiographic predictors of impending left ventricular rupture after primary coronary angioplasty. Cardiovasc Revasc Med 9:235–237

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Cardiology Department, University of Foggia, Viale Pinto 1, 71100, Foggia FG, Italy

    Natale Daniele Brunetti, Riccardo Ieva, Michele Correale, Luigi Flavio Massimiliano Di Martino, Luisa De Gennaro & Matteo Di Biase

Authors
  1. Natale Daniele Brunetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Riccardo Ieva
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michele Correale
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Luigi Flavio Massimiliano Di Martino
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Luisa De Gennaro
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Matteo Di Biase
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Natale Daniele Brunetti.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video 1. Echocardiograph apical view showing apical akinesis. (WMV 1250 kb)

Video 2. Echo-color Doppler examination showing severe intra-ventricular gradient (aliasing). (WMV 617 kb)

Video 3. Echocardiograph apical view showing severe pericardial effusion and apical thrombosis. (WMV 388 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brunetti, N.D., Ieva, R., Correale, M. et al. Left ventricular rupture in an anterior wall acute myocardial infarction with severe intra-ventricular gradient. J Thromb Thrombolysis 33, 206–208 (2012). https://doi.org/10.1007/s11239-011-0661-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11239-011-0661-y

Keywords

Search

Navigation