Intramyocardial dissection of the left ventricle and post-myocardial infarction interventricular septal rupture. A clinical case

• Autores: Quevedo Candela, Fernando Manuel, Guevara Castilla, Gabriela
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Instituto Nacional Cardiovascular
• Repositorio: Archivos peruanos de cardiología y cirugía cardiovascular
• Lenguaje: español; inglés
• OAI Identifier: oai:apcyccv.org.pe:article/499
• Enlace del recurso: https://apcyccv.org.pe/index.php/apccc/article/view/499
• Nivel de acceso: acceso abierto
• Materia: Rotura cardíaca post infarto; Rotura Septal Ventricular; Infarto del Miocardio; Procedimientos Quirúrgicos Cardíacos; Heart Rupture, Post-Infarction; Ventricular Septal Rupture; Myocardial Infarction; Cardiac Surgical Procedures

Clinical case of an 86-year-old male patient presenting with a late anterior myocardial infarction without reperfusion is reported. Initial echocardiographic assessment revealed a rare and complex mechanical complication: intramyocardial dissection of the left ventricular apex associated with interventricular septal rupture. Given the severity of the condition, an urgent surgical intervention was undertaken using a bovine pericardial patch. Although the initial postoperative course was favourable, multiple subsequent complications ultimately led to the patient’s death from ventricular arrhythmia on day 50th of hospitalisation. This report underscores the importance of timely diagnosis and multidisciplinary management of this rare clinical entity.