Postinfarction ventricular free wall rupture: strategies for diagnosis and treatment

Ann Thorac Surg. 1996 Apr;61(4):1281-5. doi: 10.1016/0003-4975(95)01160-9.


Ventricular free wall rupture is a recognized complication of myocardial infarction. In recent years, the widespread availability of echocardiography has enabled prompt antemortem diagnosis. Consequently, an avenue for lifesaving surgical intervention has emerged for this hitherto fatal condition. We review the pathology and discuss strategies for diagnosis, resuscitation, and definitive surgical intervention. We illustrate this review using our experience with a patient whose condition was diagnosed by transthoracic echocardiography and who successfully underwent emergency operation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Echocardiography
  • Emergencies
  • Heart Rupture, Post-Infarction / diagnosis*
  • Heart Rupture, Post-Infarction / pathology
  • Heart Rupture, Post-Infarction / therapy
  • Heart Ventricles / surgery
  • Humans
  • Male
  • Resuscitation / methods