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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
- Rupture of left ventricular myocardial wall with ensuing communication between left ventricular cavity and pericardial space
- Usually seen in setting of acute myocardial infarction
- Often accompanied by acute hemodynamic deterioration or electromechanic dissociation
- May be contained if inflammatory pericardium seals rupture
- 3 forms of rupture
- Acute: Acute tamponade with sudden electromechanical dissociation or severe hypotension
- Subacute: Moderate to severe pericardial effusion
- With tamponade and hemodynamic compromise
- With modest or progressive hypotension
- Without tamponade
- Chronic: Incidental detection of contained rupture in long-term interval following myocardial infarction
- Rupture of left ventricular myocardial wall with ensuing communication between left ventricular cavity and pericardial space
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
- Formica F et al: Postinfarction left ventricular free wall rupture: a 17-year single-centre experience. Eur J Cardiothorac Surg. 53(1):150-6, 2018
- Mujanovic E et al: Surgical treatment of left ventricular pseudoaneurysm. Med Arch. 68(3):215-7, 2014
- Haddadin S et al: Surgical treatment of postinfarction left ventricular free wall rupture. J Card Surg. 24(6):624-31, 2009
- Figueras J et al: Left ventricular free wall rupture: clinical presentation and management. Heart. 83(5):499-504, 2000
- Becker RC et al: A composite view of cardiac rupture in the United States National Registry of Myocardial Infarction. J Am Coll Cardiol. 27(6):1321-6, 1996
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
- Rupture of left ventricular myocardial wall with ensuing communication between left ventricular cavity and pericardial space
- Usually seen in setting of acute myocardial infarction
- Often accompanied by acute hemodynamic deterioration or electromechanic dissociation
- May be contained if inflammatory pericardium seals rupture
- 3 forms of rupture
- Acute: Acute tamponade with sudden electromechanical dissociation or severe hypotension
- Subacute: Moderate to severe pericardial effusion
- With tamponade and hemodynamic compromise
- With modest or progressive hypotension
- Without tamponade
- Chronic: Incidental detection of contained rupture in long-term interval following myocardial infarction
- Rupture of left ventricular myocardial wall with ensuing communication between left ventricular cavity and pericardial space
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
- Formica F et al: Postinfarction left ventricular free wall rupture: a 17-year single-centre experience. Eur J Cardiothorac Surg. 53(1):150-6, 2018
- Mujanovic E et al: Surgical treatment of left ventricular pseudoaneurysm. Med Arch. 68(3):215-7, 2014
- Haddadin S et al: Surgical treatment of postinfarction left ventricular free wall rupture. J Card Surg. 24(6):624-31, 2009
- Figueras J et al: Left ventricular free wall rupture: clinical presentation and management. Heart. 83(5):499-504, 2000
- Becker RC et al: A composite view of cardiac rupture in the United States National Registry of Myocardial Infarction. J Am Coll Cardiol. 27(6):1321-6, 1996
