Left ventricular free wall rupture is one of the most catastrophic and lethal mechanical complications associated with myocardial infarction. Its diagnosis in a patient still alive is rare, and its only therapeutic option is open surgical treatment. We report the case of an 82-year-old male patient who presented with an acute ST-segment elevation myocardial infarction, within more than 24 hours of onset, in which it was possible to record, in real time, the rupture of the left ventricular free wall by means of ventriculography.
Left ventricular free wall rupture after myocardial infarction: a case report with rare live diagnostic record
Rabelo,Fernanda Drumond and Silva,Giovanna Carvalho and Fernandes,Laís Mapa de Brito and Duarte,Lucas Palhares Baeta and Campos,Henrique Augusto Becho de. Left ventricular free wall rupture after myocardial infarction: a case report with rare live diagnostic record. J Transcat Intervent [online]. 2021, vol.29, [cited 2026-03-06], Available from: <https://jotci.org/article/left-ventricular-free-wall-rupture-after-myocardial-infarction-a-case-report-with-rare-live-diagnostic-record/>. ISSN . https://doi.org/10.31160/JOTCI202129A20210022.
Rabelo,Fernanda Drumond; Silva,Giovanna Carvalho; Fernandes,Laís Mapa de Brito; Duarte,Lucas Palhares Baeta; Campos,Henrique Augusto Becho de. Left ventricular free wall rupture after myocardial infarction: a case report with rare live diagnostic record. J Transcat Intervent, v.29, Oct. 2021. Available from: <https://jotci.org/article/left-ventricular-free-wall-rupture-after-myocardial-infarction-a-case-report-with-rare-live-diagnostic-record/>. acess on 06 Mar. 2026. https://doi.org/10.31160/JOTCI202129A20210022.
Rabelo,Fernanda Drumond, & Silva,Giovanna Carvalho, & Fernandes,Laís Mapa de Brito, & Duarte,Lucas Palhares Baeta, & Campos,Henrique Augusto Becho de. (2021). Left ventricular free wall rupture after myocardial infarction: a case report with rare live diagnostic record. J Transcat Intervent, 29, https://doi.org/10.31160/JOTCI202129A20210022.
RabeloFernanda Drumond, SilvaGiovanna Carvalho, FernandesLaís Mapa de Brito, DuarteLucas Palhares Baeta, CamposHenrique Augusto Becho de. Left ventricular free wall rupture after myocardial infarction: a case report with rare live diagnostic record. J Transcat Intervent [Internet]. 2021 Oct [cited 2026 Mar 06]; 29: Available from: https://jotci.org/article/left-ventricular-free-wall-rupture-after-myocardial-infarction-a-case-report-with-rare-live-diagnostic-record/. https://doi.org/10.31160/JOTCI202129A20210022.
Figure 3
Left ventriculography in systole with presence of free wall rupture and cardiac tamponade.
, Giovanna Carvalho Silva
