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J Thorac Cardiovasc Surg 2006;131:226-227
© 2006 The American Association for Thoracic Surgery

Brief Communication

Ventricular lateral wall rupture after myocardial infarction detected by means of multislice computed tomography

Stefan Klotz, MD a , * , Eva M. Fallenberg, MD b , Andreas Hoffmeier, MD a , Tonny D.T. Tjan, MD a , Hans H. Scheld, MD a

a Department of Thoracic and Cardiovascular Surgery, University Hospital Muenster, Muenster, Germany
b Department of Clinical Radiology, University Hospital Muenster, Muenster, Germany

Received for publication August 5, 2005; accepted for publication August 17, 2005.

* Address for reprints: Stefan Klotz, MD, Department of Thoracic and Cardiovascular Surgery, University Hospital Muenster, 48151 Muenster, Germany (Email: Stefan.Klotz@ukmuenster.de).

The first 20% of the full text of this article appears below.

Ventricular septum ruptures are known and severe complications after myocardial infarction with a corresponding high mortality. Ventricular free wall ruptures are less common because these patients often die before sufficient diagnostics can be performed. 1 Go If an examination is possible, diagnosis is most often performed by means of Doppler echocardiography. 2 Go However, detection of a ventricular free wall rupture by means of multislice computed tomography (MSCT) has not yet been published and is presented here.

Clinical Summary

A 51-year-old patient with hemodynamic deterioration after acute myocardial infarction was referred to our department in June 2005. The case history revealed aortic valve replacement with a Lillehei Custer valve in 1972, as well as aortocoronary bypass graftings in 1992 and 2001. The patient was admitted first to a cardiology unit with the diagnosis of acute myocardial infarction. A . . . [Full Text of this Article]




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