Ivanov Igor, Lovrenski Aleksandra, Dejanović Jadranka, Petrović Milovan, Jung Robert, Raffay Violetta
Vojnosanit Pregl. 2014 Dec;71(12):1151-4. doi: 10.2298/vsp1412151i.
Double heart rupture is a rare complication of acute myocardial infarction with high mortality.
We presented a 67-year-old female patient with symptoms and signs of myocardial infarction, diagnosed with echocardiography, rupture of the septum, the presence of a thrombus and a small pericardial effusion. Soon after admission the patient died. Autopsy revealed tamponade and double myocardial rupture, free wall rupture and ventricular septal rupture, as a cause of death.
This case highlights the need to evaluate patients with myocardial infarction, recurrent chest pain, echocardiographic signs of effusion and the presence of thrombus in the pericardium in terms of double rupture of the heart.
心脏双破裂是急性心肌梗死的一种罕见并发症，死亡率很高。
我们介绍了一名67岁女性患者，有心肌梗死的症状和体征，经超声心动图诊断为室间隔破裂、存在血栓和少量心包积液。入院后不久患者死亡。尸检显示心包填塞和心肌双破裂，即游离壁破裂和室间隔破裂，为死因。
该病例强调了对于患有心肌梗死、复发性胸痛、有积液的超声心动图征象以及心包内存在血栓的患者，需要评估其是否存在心脏双破裂。
