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Journal of Thrombosis and Thrombolysis

, Volume 33, Issue 2, pp 206–208 | Cite as

Left ventricular rupture in an anterior wall acute myocardial infarction with severe intra-ventricular gradient

  • Natale Daniele BrunettiEmail author
  • Riccardo Ieva
  • Michele Correale
  • Luigi Flavio Massimiliano Di Martino
  • Luisa De Gennaro
  • Matteo Di Biase
Article

Abstract

We report the case of a 72-year-old man with ST-elevation acute myocardial infarction and severe intra-ventricular gradient (>40 mmHg), who died with left ventricular rupture (LVR). We postulate that severe intra-ventricular gradient detectable at admission may be related to subsequent LVR and proposed as a risk factor for LVR.

Keywords

Left ventricular rupture Acute myocardial infarction Intra-ventricular gradient 

Supplementary material

Video 1. Echocardiograph apical view showing apical akinesis. (WMV 1250 kb)

Video 2. Echo-color Doppler examination showing severe intra-ventricular gradient (aliasing). (WMV 617 kb)

Video 3. Echocardiograph apical view showing severe pericardial effusion and apical thrombosis. (WMV 388 kb)

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Natale Daniele Brunetti
    • 1
    Email author
  • Riccardo Ieva
    • 1
  • Michele Correale
    • 1
  • Luigi Flavio Massimiliano Di Martino
    • 1
  • Luisa De Gennaro
    • 1
  • Matteo Di Biase
    • 1
  1. 1.Cardiology DepartmentUniversity of FoggiaFoggia FGItaly

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