Khalid Sidra, Seepana Jyothirmai, Sundhu Murtaza, Maroo Praful
Internal Medicine Residency, Fairview Hospital, Cleveland Clinic, USA.
Cardiology, Fairview Hospital, Cleveland Clinic, USA.
Cureus. 2017 Aug 25;9(8):e1610. doi: 10.7759/cureus.1610.
Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction (MI). We report a case of a 73-year-old male who developed LVFWR five days after a transmural MI. The diagnosis was confirmed with echocardiography, which showed a large pericardial effusion with a clot in the pericardial sac. This case emphasizes that a high index of clinical suspicion for the acute mechanical complications of MI should be present when managing patients with transmural MIs. In addition, stat echocardiography is necessary to diagnose LVFWR and initiate treatment.
左心室游离壁破裂（LVFWR）是急性心肌梗死（MI）的一种严重并发症。我们报告一例73岁男性患者，他在透壁性心肌梗死后五天发生了左心室游离壁破裂。超声心动图确诊了该病例，显示心包有大量积液且心包腔内有血凝块。该病例强调，在处理透壁性心肌梗死患者时，应高度怀疑心肌梗死的急性机械并发症。此外，急诊超声心动图对于诊断左心室游离壁破裂并启动治疗是必要的。
