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. 2021 Oct 20;3(14):1622-1624.
doi: 10.1016/j.jaccas.2021.06.010.

Right Ventricular Free Wall Rupture After Myocardial Infarction

Usman A Hasnie  1 , Courtney Wagner  1 , Jacob P Elrod  1   2 , Gregory D Chapman  1   2
Affiliations

Right Ventricular Free Wall Rupture After Myocardial Infarction

Usman A Hasnie et al. JACC Case Rep. .

Abstract

This paper describes the case of a 68-year-old man who presented in cardiac tamponade due to a right ventricular free wall rupture after a recent ST-segment elevation myocardial infarction. After a pericardiocentesis, the ventricular defect resolved spontaneously. The patient was managed medically and avoided surgical intervention. (Level of Difficulty: Intermediate.).

Keywords: AMI, acute myocardial infarction; FWR, free wall rupture; LAD, left anterior descending; PCI, percutaneous coronary intervention; RCA, right coronary artery; RV, right ventricle; STEMI, ST-segment elevation myocardial infarction; TTE, transthoracic echocardiography; echocardiography; myocardial infarction; tamponade.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Acute Thrombus in the Mid RCA (A) Acute thrombus in the mid RCA. (B) PCI to the mid RCA with restoration of TIMI flow grade 3. (C) RV diastolic collapse consistent with tamponade. (D) CT with evidence of RV free wall defect. (E) Active contrast extravasation seen on PLAX. (F) Resolution of free wall defect 2 days post-pericardiocentesis. CT = computed tomography; PCI = percutaneous coronary intervention; PLAX = parasternal long axis; RCA = right coronary artery; RV = right ventricle; TIMI = Thrombolysis In Myocardial Infarction.
See this image and copyright information in PMC

References

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