LEFT VENTRICULAR FREE WALL RUPTURE REVEALED BY PERIPROCEDURAL ECHOCARDIOGRAPHY IN A PATIENT WITH EXTENSIVE ANTERIOR STEMI: A FATAL CASE REPORT
Abstract
Introduction: Left ventricular (LV) rupture is a rare but often fatal complication of acute myocardial infarction (AMI). Its diagnosis relies heavily on urgent imaging,particularly echocardiography.
Case presentation: We report the case of a 58-year-old woman with no known cardiovascular risk factors, admitted for acute chest pain that began 6 hours prior. The electrocardiogram (ECG) revealed an extensive anterior ST-elevation myocardial infarction (STEMI). While being transferred to the catheterization lab, she suddenly developed agonal breathing and electromechanical dissociation. Emergent transthoracic echocardiography demonstrated a left ventricular free wall rupture with massive hemopericardium. Despite 45 minutes of cardiopulmonary resuscitation,the patient died.
Conclusion: This case illustrates the dramatic course of LV rupture during the acute phase of myocardial infarction, highlighting the crucial role of echocardiography for immediate diagnosis in the cath lab.
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Y.El Grini , H.Dahmani , F.Benmessaoud , L.Oukerraj and M.Cherti (2025); LEFT VENTRICULAR FREE WALL RUPTURE REVEALED BY PERIPROCEDURAL ECHOCARDIOGRAPHY IN A PATIENT WITH EXTENSIVE ANTERIOR STEMI: A FATAL CASE REPORT, Int. J. of Adv. Res., 13 (10), 368-370, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/21924
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