The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

How should I treat?

How should I treat an acute anterior myocardial infarction associated with a myocardial rupture? Between the devil and the deep blue sea

EuroIntervention 2015;11:e1-e7 published online e-article June 2015. DOI: 10.4244/EIJV11I2A46

1. Cardiology Department, Centre Marie Lannelongue, Le Plessis Robinson, France; 2. Radiology Department, Centre Marie Lannelongue, Le Plessis Robinson, France; 3. Cardiac Surgery Department, Centre Marie Lannelongue, Le Plessis Robinson, France
CASE SUMMARY

BACKGROUND: A 70-year-old man was admitted to the emergency department for an acute anterior STEMI six weeks after a previous inferior myocardial infarction.

INVESTIGATION: Coronary angiography, transthoracic echocardiography, cardiac computed tomography.

DIAGNOSIS: Acute anterior myocardial infarction+posterior myocardial wall rupture.

MANAGEMENT: Minimal PCI, thrombectomy, cardiac surgery.

KEYWORDS: acute myocardial infarction, myocardial rupture, thrombectomy, ventricular false aneurysm

PRESENTATION OF THE CASE

A 70-year-old man was referred to the emergency department for acute chest pain. His previous medical history included a recent inferior STEMI, which was treated six weeks before in a different ...

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