Gać Paweł, Macek Piotr, Szczepański Andrzej, Poręba Rafał
Centre for Diagnostic Imaging, 4th Military Hospital, Weigla 5, PL 50-981 Wroclaw, Poland.
Department of Hygiene, Wroclaw Medical University, Mikulicza-Radeckiego 7, PL 50-368 Wroclaw, Poland.
Diagnostics (Basel). 2021 Mar 16;11(3):525. doi: 10.3390/diagnostics11030525.
Rupture of the free wall of the left ventricle, rupture of the interventricular septum and acute mitral regurgitation are mechanical complications of myocardial infarction. They are rare; left ventricular rupture occurs in about 2-4% of patients with myocardial infarction. We present the case of an 85-year-old woman with an anterior wall infarction complicated by left ventricular rupture. We present diagnostic images of pathology visualized by computed tomography angiography, performed in order to exclude aortic dissection as the cause of the presence of fluid in the pericardial sac. Images from ventriculography are also presented. Summing up, during the diagnostic and therapeutic process of acute coronary syndrome, it is important to bear in mind the risk of possible complications, such as left ventricular rupture.
左心室游离壁破裂、室间隔破裂和急性二尖瓣反流是心肌梗死的机械性并发症。它们较为罕见；左心室破裂发生在约2-4%的心肌梗死患者中。我们报告一例85岁女性前壁梗死并发左心室破裂的病例。我们展示了通过计算机断层血管造影可视化的病理诊断图像，其目的是排除主动脉夹层作为心包腔内积液原因。还展示了心室造影图像。总之，在急性冠状动脉综合征的诊断和治疗过程中，重要的是要牢记可能出现的并发症风险，如左心室破裂。
