We report a case of successful survival from ventricular free wall rupture without surgery, which was not overt rupture but
micro-rupture. The patient was diagnosed with acute myocardial infarction (AMI)
and underwent primary percutaneous coronary intervention (PCI). Myocardial
blood leakage could be detected on transthoracic echocardiography with intravenous
infusion of contrast dye 3 days after PCI. This examination revealed that there
was not overt perforation but diffuse fissure. Because of his critical condition,
he was treated conservatively without surgery. Nevertheless, he survived
Seo, J.B., Cho, S.H., Yoon, C.H., et al. (2004) A patient with prior history of open heart surgery, who survived from a traumatic ventricular free wall and coronary artery rupture, without surgical repair. Korean Circulation Journal, 34, 104-106.
Wilkenshoff, U.M., Ale Abaei, A., Kuersten, B., et al. (2004) Contrast echocardiography for detection of incomeplete rupture of the left ventricle after acute myocardial infarction. Zeitschrift fur Kardiologie, 93, 624-629.