Triple cardiac rupture

Autores de IIS La Fe

• Ana María Osa Sáez

  Autor

• Rosario Vicente Guillen

  Autor

• José Anastasio Montero Argudo

  Autor

Participantes ajenos a IIS La Fe

• Vazquez A

Grupos

• Anestesia y Cuidados Críticos

• Grupo de Investigación Clínica y Traslacional en Cardiología

• Regeneración y Trasplante Cardíaco

Abstract

Left ventricular free wall rupture and acute ischaemic mitral regurgitation are nowadays rare, but still potentially lethal mechanical complications after acute myocardial infarction. We report a case of a sequential left ventricular free wall rupture, anterolateral papillary muscle disruption, secondary severe mitral regurgitation and subsequent posteromedial papillary muscle head rupture in a single patient during the same ischaemic episode after myocardial infarction, and their related successful surgical procedures and management until discharge. Prompt bedside diagnosis and emergent consecutive surgical procedures, as well as temporary left ventricular assistance, were crucial in the survival of this patient.

Keywords

• Free wall rupture; Myocardial infarction; Mechanical complications; Acute mitral regurgitation