REPLY: Optimal management of left ventricular free wall rupture considering the probability of rerupture

Ventricular free wall rupture.

BACKGROUND Left ventricular free wall rupture (FWR) is reported to occur in 2-6% of cases presenting with acute myocardial infarction. Mortality of this complication is very high, accounting for 20-30% of all infarct related deaths. The objective of our study was to present our surgical experience of free wall rupture over a period of five years from 2004-2009. METHODOLOGY A review of our rec...

An unusual presentation of left ventricular free wall rupture.

Left ventricular free wall rupture (LVFWR) is one of the most lethal complications following myocardial infarction. It accounts for approximately 12% to 21% of all in-hospital deaths following myocardial infarction. The majority of patients die shortly after LVFWR from instantaneous pericardial tamponade and hemodynamic collapse. However, up to one-third of cases are subacute in nature, allowin...

Left ventricular free wall rupture after coronary artery bypass grafting.

Post-myocardial Infarction Left Ventricular Free-wall Rupture

Occurrence of left ventricular free wall rupture following myocardial infarction is an unpredictable event associated with very high mortality rate. The most appropriate surgical approach remains controversial. With recent advances in portable echocardiography machines there has been a progressive rise in the number of cases of left ventricular free wall rupture diagnosed and reported. Early di...

[Left ventricular free wall rupture during dobutamine stress echocardiography].

Dobutamine stress echocardiography is associated with a very low rate of serious complications, lower than 0.5% (death, infarction or sustained ventricular tachycardia). We report the case of a 75 year-old female patient that suffered a fatal left ventricular free wall rupture during a dobutamine stress echocardiography after acute myocardial infarction.