Butt Salman, Pandey Gaurav, Kumar Arun, Badiwala Mitesh, Darr Umer
Cardiac Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.
Cardiac Anesthesia, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.
Cureus. 2024 Oct 19;16(10):e71833. doi: 10.7759/cureus.71833. eCollection 2024 Oct.
Left ventricular free wall rupture (LVFWR) is a rare but serious complication following ST-elevation myocardial infarction (MI), occurring in a small fraction of patients. Left Ventricular Free Wall Rupture presents as three types: There are three types of Left Ventricular Free Wall Rupture: Type 1 with an abrupt tear and high mortality, Type 2 with a slower tear, and Type 3 with aneurysm perforation. Despite reperfusion therapies, LVFWR remains concerning due to increased mortality described from 75% to 90%. We present a case of LVFWR in a 64-year-old with a history of previous aortic valve surgery and heart failure, managed through left thoracotomy surgical repair. Our approach led to successful repair, emphasizing collaborative intraoperative strategies for improved outcomes in LVFWR cases.
左心室游离壁破裂（LVFWR）是ST段抬高型心肌梗死（MI）后一种罕见但严重的并发症，仅在一小部分患者中发生。左心室游离壁破裂有三种类型：1型为突然撕裂，死亡率高；2型为撕裂较缓慢；3型为动脉瘤穿孔。尽管有再灌注治疗，但由于死亡率从75%上升至90%，左心室游离壁破裂仍然令人担忧。我们报告一例64岁有主动脉瓣手术史和心力衰竭病史的左心室游离壁破裂患者，通过左胸开胸手术修复进行治疗。我们的方法成功实现了修复，强调了术中协作策略以改善左心室游离壁破裂病例的治疗效果。
