Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Double rupture of interventricular septum and free wall of the left ventricle, as a mechanical complication of acute myocardial infarction: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Double rupture of interventricular septum and free wall of the left ventricle as a mechanical complication of acute myocardial infarction a case report Elias I Rentoukas George A Lazaros Andreas P Kaoukis and Evangellos P Matsakas Address Cardiology Department Athens General Hospital Athens Greece Email Elias I Rentoukas - dmel@ George A Lazaros - glaz35@ Andreas P Kaoukis - andreaskaoukis@ Evangellos P Matsakas - ematsakas@ Corresponding author Published 17 March 2008 Received 27 June 2007 Journal of Medical Case Reports 2008 2 85 doi 1752-1947-2-85 Accepted I7 March 2008 This article is available from http content 2 1 85 2008 Rentoukas et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Cardiac ruptures following acute myocardial infarction include rupture of the left ventricle free-wall ventricular septal defects and papillary muscle rupture. Double myocardial rupture is a rare complication of acute myocardial infarction and the report of such cases is exclusively limited to a small series of autopsy studies. Case presentation In this report we present the unusual case of a 70-year-old woman with acute anteroseptal myocardial infarction which was complicated by a combined rupture of the interventricular septum near the apex and the free wall of the left ventricle with concomitant formation of a pseudoaneurysm. The double myocardial rupture was accidentally discovered 10 days later with echocardiography when the patient complaining only of mild exertional dyspnea was hospitalized for a scheduled coronary angiography. The patient underwent successful .
