Double heart rupture after acute myocardial infarction: A case report

Igor Ivanov; Aleksandra Lovrenski; Jadranka Dejanović; Milovan Petrović; Robert Jung; Violetta Raffay

doi:10.2298/4063

Igor Ivanov Clinic of Cardiology, Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
Aleksandra Lovrenski Pathology Department, Institute for Lung Diseases of Vojvodina, Sremska Kamenica, Serbia
Jadranka Dejanović Clinic of Cardiology, Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
Milovan Petrović Clinic of Cardiology, Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
Robert Jung Clinic of Cardiology, Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
Violetta Raffay Municipal Institute for Emergency Medicine, Novi Sad, Serbia

DOI: https://doi.org/10.2298/4063

Keywords: myocardial infarction, acute disease, heart rupture, post-infarction, echocardiography,

Abstract

Introduction. Double heart rupture is a rare complication of acute myocardial infarction with high mortality. Case report. 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. Conclusion. 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.

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