Rupture of Free Wall of the Left Ventricular and Ventricular Septum(Double Rupture)after Acute Myocardial Infarction

(Department of Cardiovascular Surgery, Oita Prefectural Hospital, Oita, Japan)

Daisuke Onohara Kazuki Hisatomi Takahumi Yamada
Cardiac ruptures are life-threatening complications after acute myocardial infarction. Types of rupture include left ventricle free-wall rupture, ventricular septal rupture, and papillary muscle rupture. Double rupture is defined as the coexistence of two of the above-mentioned forms of rupture. It complicates approximately 0.3% of acute myocardial infarction with the most frequent combination being free-wall rupture and ventricular septal rupture. We present the case of a 74-year-old man whose recent acute myocardial infarction was complicated by a combination of free-wall rupture and ventricular septal rupture. The patient underwent successful surgical treatment of the double myocardial rupture along with bypass grafting.
  Jpn. J. Cardiovasc. Surg. 42:241-245(2013)

Keywords:ventricular septal rupture, free-wall rupture, double rupture, patch closure