Abstract

GARCIA-ARIAS, Mario Ramón et al. Double myocardial rupture as a mechanical complication of an acute infarction. Med. interna Méx. [online]. 2019, vol.35, n.4, pp.619-626.  Epub Mar 26, 2021. ISSN 0186-4866.  https://doi.org/10.24245/mim.v35i4.2468.

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.

Keywords : Left ventricle free wall rupture; Acute myocardial infarction; Acute coronary syndrome.