Left Ventricular Free Wall Rupture or Aortic Dissection: The Challenge in Diagnosis and Management.

ABSTRACT:

Case summary

Aortic dissection and left ventricular (LV)wall rupture after acute myocardial infarction can both be life-threatening. Furthermore, it is difficult to distinguish between aortic dissection and acute myocardial infarction due to similar clinical presentation. Herein, we present the case of a 72-year-old man with ST-segment elevation who developed a cardiac tamponade. Emergency angiography revealed an intimal flap extending from the aortic root. Surgical intervention confirmed a LV free wall rupture complicated by acute myocardial infarction. This case highlights the challenges in diagnosing the cause of cardiac tamponade.

Take-home messages

First, this case highlights the diagnostic challenge of distinguishing cardiac tamponade caused by acute myocardial infarct

SUBMITTER: Sato D 

PROVIDER: S-EPMC12441460 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature