Introduction
Myocardial free wall rupture due to myocardial infarction usually develops suddenly and leads to hemodynamic collapse. Mortality is very high even in patients undergoing emergent cardiac surgery. In very rare circumstances, free wall rupture may limit itself. It is life saving if it could be diagnosed with echocardiography before using reperfusion therapies.
Case Presentation
A 56 years old male patient was referred to our clinics with subacute inferior myocardial infarction for primary reperfusion. Serum kreatinine level was 2,1 mg/dl, blood pressure was 90/60 mmHg and heart rate was 110 per minute. Patient had no prior history for renal dysfunction. He was evaluated with echocardiography for myocardial infarction complications. Echocardiography showed little pericardial effusion and hyperechogen mass in pericardial cavity especially located adjacent to apicolateral left ventricle and anterior to right ventricle free wall consistent with coagulum. Possible diagnosis was subacute myocardial free wall rupture confining itself due to myocardial infarction. Anticoagulant and antiaggregan treatments were stopped. Coronary angiography showed occluded Circumflex artery. Patient was operated three days after admission. Rupture at more than one point at posterior wall of the left ventricle over circumflex artery supply area were seen and primaryly sutured with the help of tephlon material. Patient was discharged at 10th postoperative day.
Case Presentation
A 56 years old male patient was referred to our clinics with subacute inferior myocardial infarction for primary reperfusion. Serum kreatinine level was 2,1 mg/dl, blood pressure was 90/60 mmHg and heart rate was 110 per minute. Patient had no prior history for renal dysfunction. He was evaluated with echocardiography for myocardial infarction complications. Echocardiography showed little pericardial effusion and hyperechogen mass in pericardial cavity especially located adjacent to apicolateral left ventricle and anterior to right ventricle free wall consistent with coagulum. Possible diagnosis was subacute myocardial free wall rupture confining itself due to myocardial infarction. Anticoagulant and antiaggregan treatments were stopped. Coronary angiography showed occluded Circumflex artery. Patient was operated three days after admission. Rupture at more than one point at posterior wall of the left ventricle over circumflex artery supply area were seen and primaryly sutured with the help of tephlon material. Patient was discharged at 10th postoperative day.
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