Non-ST-segment elevation myocardial infarction with evidence of transmural infarction complicated by left ventricular rupture during percutaneous coronary intervention

被引：3
|
作者：
Connolly, Niall P. E. [1 ]
Hennessey, Breda [2 ]
Mylotte, Darren [1 ]
机构：
[1] Galway Univ Hosp, Cardiol, Galway, Ireland
[2] San Carlos Univ Hosp, Cardiovasc Inst, Madrid, Spain
来源：
BMJ CASE REPORTS | 2020年 / 13卷 / 10期
关键词：
ischaemic heart disease; interventional cardiology; cardiovascular medicine; CARDIAC RUPTURE;
D O I：
10.1136/bcr-2020-235459
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of a 68-year-old man presenting with a non-ST-segment elevation myocardial infarction, complicated by fatal left ventricular free wall rupture with electromechanical disassociation and cardiac tamponade during percutaneous coronary intervention. The aetiology for the sudden haemodynamic collapse was initially unclear; however, transthoracic echocardiography confirmed pericardial tamponade and postmortem revealed complete transmural myocardial infarction with left ventricular free wall rupture. This serves as an important lesson that transmural infarction and subsequent mechanical complications, including ventricular rupture, can occur in non-ST-segment myocardial infarction and not just ST-segment myocardial infarction.
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页数：4
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