Right Ventricular Free Wall Rupture: A Catastrophic Sequela of Myocardial Ischemia

Abstract

The case describes a rare mechanical complication of myocardial infarction in the form of right ventricular free wall rupture leading to cardiogenic shock and death. The patient had no cardiac high-risk factors and had short-lasting symptoms of the chest pain but presented in the emergency department in a semi-conscious state. The condition was diagnosed on transthoracic echocardiography and during the course of investigation, the patient instantaneously deteriorated and succumbed to the condition.

Keywords

• acute myocardial infarction
• transthoracic echocardiography
• ventricular free wall rupture