Pęknięcie przegrody międzykomorowej i wolnej ściany lewej komory jako powikłanie mechaniczne zawału serca u 56-letniego mężczyzny : opis przypadku, obserwacja 7-letnia

A case of a 56-year-old male who had unrecognised acute myocardial infarction complicated by a combination of ventricular septum and free wall rupture is presented. He developed symptoms of overt heart failure but initially he was treated out of hospital due to pneumonia. An echocardiographic study disclosed a ventricular septum rupture and ventricular free wall rupture with concomitant formation of pseudoaneurysm. He underwent surgical correction of the double myocardial rupture and successful re-operation due to recanalisation on the 5th day after the surgery. He underwent right coronary artery angioplasty 5 years after cardiac surgery.