When the heart is torn apart: Dual rupture after acute myocardial infarction.

Authors

Soukaina Cherkaoui, Mohamed Sarsari, Houda Bachri, Jamila Zarzur, Mohamed Cherti

Published in

Radiology case reports. Volume 21. Issue 10. Pages 4565-4569. Epub Jul 17, 2026.

Abstract

Post-infarction mechanical complications, including ventricular septal rupture and right ventricular free-wall rupture, are rare but fatal. Early recognition is critical to improve outcomes. A 95-year-old man with pulmonary fibrosis experienced chest pain three days before hospitalization. On admission, he had inferior STEMI with second-degree atrioventricular block, outside the reperfusion window. The next day, he developed recurrent chest pain and hemodynamic shock. Transthoracic echocardiography revealed a muscular inferno-septal ventricular septal rupture (VSR) combined with right ventricular free-wall rupture (RVFWR). The coexistence of VSR and RVFWR is exceedingly rare and carries high mortality, highlighting the importance of early multimodality imaging and prompt diagnosis.

PMID:
42502788
Bibliographic data and abstract were imported from PubMed on 26 Jul 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.