• Liyuan Yan, Haipeng Wang, Bo Su, Jiali Fan, Minghan Wang, and Xin Zhao.
• Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, China.
• Am J Emerg Med. 2021 Jan 1; 39: 21-23.

AbstractLeft ventricular free wall rupture (LVFWR) is a rare and fatal mechanical complication following an acute myocardial infarction (AMI). Cases of survival after LVFWR due to ST-segment elevation myocardial infarction (STEMI) treated with a conservative treatment strategy are extremely rare. In this case, a 55-year-old male patient with several cardiovascular risk factors presented to the emergency department with symptoms of ongoing chest pain and syncope. The patient's electrocardiogram was in sinus rhythm with ST-elevation on I, aVL, and V4-6 leads. His myoglobin and troponin I levels were elevated. Due to the unstable hemodynamic state of the patient, bedside echocardiography was performed. The echocardiography indicated LVFWR after AMI. Pericardiocentesis was used to restore a satisfactory hemodynamic state in the patient. Following the initial treatment, the patient opted for a conservative treatment strategy and was uneventfully discharged after 19 days.Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.

21 keywords...

hide…