1Assistant Professor, Dept. of Forensic Medicine, Govt. Medical College, Miraj, Dist, Sangli, Maharashtra
2Junior Resident, Dept of Forensic Medicine, Indira Gandhi Govt. Medical College, Nagpur
*Corresponding author: Shrikant Shinge, Assistant Professor, Block No 3. Bulding No- 2, Residential campus, Govt. Medical College, Miraj, Dist.: Sangli, Maharashtra, Pin - 416410. Phone No - +919860151299
Online published on 20 February, 2014.
Ventricular wall rupture occurs in 1–3% cases with acute myocardial infarction (AMI) and is the third most common cause of death caused by AMI. This most sever mechanical complication of the AMI often remains undiagnosed and constitute a necropsy finding. Acute free wall rupture complicating AMI is defined as an abrupt and complete transmural rupture of the infracted region, causing cardiac temponade and death within 30 minutes. Ventricular free wall rupture occurs up to ten times more frequently than septal or papillary muscle rupture. The pathophysiological process involves thinning of the myocardial wall with the intensity of necrosis occurring at the terminal end of the vessel (watershed area) where there is often poor collateral flow. Here we described in brief about this fatal complications presentation, pathophysiology and diagnosis.
Acute Myocardial Infarction, Ventricular Wall Rupture, Cardiac Temponade
