Rescue percutaneous coronary intervention revealing impending left ventricle rupture.

to lack of improvement, she was transferred for rescue percutaneous coronary intervention. Successful percutaneous coronary intervention was performed on the left anterior descending artery, although persisting slow flow was noted (Figs. 1B and 1C, Online Video 1). Diffuse narrowing of the distal left anterior descending artery was also observed, suggesting external compression of the vessel. The left ventriculography showed anterolateroapical akinesis with aneurismal dilation of the left ventricle and an apical thrombus. Surprisingly, extravasation of contrast within the myocardium was visible in the anterior free wall (Fig. 1D, Online Video 2). Impeding left ventricular rupture was suspected. After re-interrogation, the patient mentioned that chest pain had begun 3 weeks