Left ventricular free wall rupture (LVFWR) is the third leading and most feared complication of myocardial infarction. The course of rupture varies from a catastrophic blow-out type to a subacute oozing type. The widespread availability and use of echocardiography have increased the number of cases diagnosed before death and the number of surgical cases attempted. Despite this, experience with ...

It is of value to determine the amount of viable myocardial tissue in patients suffering from chronic coronary artery disease and ventricular dysfunction. Having the capability of evaluating both myocardial perfusion and function, simultaneously, myocardial scanning by ECG-Gated is an appropriate method for this purpose. The aim of this study was to compare the results of myocardial perfu...

Abstract Background Left ventricular free wall rupture (LVFWR) and interventricular septal (VSR) are potentially catastrophic mechanical complications after acute myocardial infarction (AMI). When they occur together ("double rupture" (DMR)), survival is unlikely. DMR seen in only 0.3% of all AMIs. With or without surgical intervention, the odds against patient. Case presentation Our 57-year-ol...

We report a case of a ruptured proximal aortic dissection with cardiac tamponade, which masqueraded as myocardial rupture or cardiorrhexis. An 84-year-old female had sudden onset of chest pain with loss of consciousness and a mechanical fall. Echocardiography demonstrated pericardial effusion with hematoma overlying the apicallateral wall and an echo free space suggestive of contained, ventricu...

RATIONALE Ventricular double rupture (VDR) is a rare but lethal mechanical complication of acute myocardial infarction (AMI). The early identification and timely treatment of VDR remain challenging problems. We present a case of AMI with VDR and briefly review the characteristics and prognosis of this life-threatening disease. PATIENT CONCERNS AND DIAGNOSES A 77-year-old male presented to our...