Open AccessLeft ventricular free wall rupture following acute myocardial infarction and cardiac amyloid
Author(s) -
Shirani J.,
Bonin M. A.,
Gould N.,
Silver M. A.
Publication year - 1990
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960131012
Subject(s) - medicine , cardiology , myocardial infarction , amyloidosis , inotrope , cardiac amyloidosis , diuresis , angioplasty , kidney
A 74‐year‐old man died of left ventricular free wall rupture 6 days following an acute inferoposterior wall myocardial infarction. His hospital course was complicated by pump failure which proved resistant to inotropic support, diuresis, and percutaneous transluminal coronary angioplasty. At necropsy, extensive amyloid deposition was noted. This case constitutes an unusual clinical setting for myocardial rupture because of the severity of systolic left ventricular dysfunction as well as cardiac amyloidosis.