Conservative Treatment for Right Ventricular Free Wall Rupture in a Patient with Acute Myocardial Infarction

Abstract

Ventricular wall rupture possesses a high mortality rate in patients with acute myocardial infarction. We presented a case of a ninety-year-old gentleman who presented with acute inferolateral myocardial infarction in cardiogenic shock and right ventricular free wall rupture. He was treated conservatively and survived.

Incidence of Right Ventricular Infarction in Patients With Inferior Wall Myocardial Infraction

“…Right ventricular infarction (RVI) was recognized in subjects with inferior wall MI. Despite normal left ventricular filling pressure, these patients demonstrated increased right ventricular filling pressure and right ventricular failure (Firdaus et al, 2020). The increasing incidence of right ventricular infarction, alone or associated with left ventricular infarction, emphasizes the importance of normal functioning of the right ventricle (Saif et al, 2020).…”

Traumatic right ventricular rupture: Case report and brief review of the literature

“…The use of a percutaneous closure technique has been attempted in a trauma-induced RV pseudoaneurysm with partial success (ie, some residual communication to the pseudoaneurysm remained following the procedure) [19] . Ultimately, in patients who cannot undergo surgery, such as the patient in this case report, conservative treatment is trialed [20] .…”