Reviews
Post-Myocardial Infarction Left Ventricular Free Wall
Rupture: A Review
Author(s):
Mahmoud Abdelnaby*, Abdallah Al-Maghraby, Yehia Saleh, Ashraf El-Amin, Muhammad Mahmoud Abdul Haleem and Basma Hammad
Left ventricular free wall rupture (LVFWR) is a rare striking complication of acute myocardial infarction [AMI]. It can occur in one of two types: either acute lethal form or a subacute form where a blood clot in rare circumstances seals the defect and results in the formation of a ventricular pseudoaneurysm. A high index of suspicion and close monitoring of patient’s symptoms and signs are necessary for diagnosis. Urgent Transthoracic echocardiography (TTE) is the gold standard for definitive diagnosis of AMI complications such as LVFWR. Multi- Detector Computed Tomography (MDCT) is a suitable alternative if the diagnosis is doubtful or to exclude other etiologies of hemopericardium. Cardiac Magnetic Resonance (CMR) is mainly used in stable patients with subacute LVFWR or pseudoaneurysm for more defined tissue characterization. Pericardiocentesis is.. Read More»
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