Mechanical Complications of Acute Myocardial Infarction

  • Antonino M. Grande
  • Alessandro Mazzola


Acute myocardial infarction may determine in a low percentage of cases (<1%) mechanical complications that have an increased early and late mortality. The main acute mechanical complications of acute myocardial infarction are the ventricular septal rupture, free wall rupture, and ischemic mitral regurgitation. A rapid diagnosis is mandatory, and it is made by echocardiography. Surgical repair is in most cases performed immediately after diagnosis, and postoperative mortality is high in ventricular septal and free wall ruptures.


Acute myocardial infarction Ventricular septal rupture Free wall rupture Ischemic mitral regurgitation Echocardiography Intra-aortic balloon pump 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Antonino M. Grande
    • 1
  • Alessandro Mazzola
    • 2
  1. 1.Department of Cardiac SurgeryIRCCS Fondazione Policlinico San MatteoPaviaItaly
  2. 2.Cardiac SurgeryIRCCS Multimedica Sesto S. GiovanniMilanoItaly

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