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Role of contrast-enhanced magnetic resonance imaging in detecting early adverse remodeling and subacute ventricular wall rupture complicating myocardial infarction

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Abstract

Ventricular free wall rupture is a catastrophic complication of acute myocardial infarction accounting for a significant proportion of in-patient deaths. Various imaging modalities including two-dimensional and contrast echocardiography have been applied for the early diagnosis of free wall rupture. Cardiac magnetic resonance imaging has recently gained favor as a tool providing accurate diagnosis and visualization of the site of rupture to enable planned surgery. We present a case of subacute free wall rupture where contrast enhanced myocardial resonance imaging helped to delineate the location and extent of the myocardial tear, thereby prompting appropriate surgical intervention.

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Authors and Affiliations

  1. Department of Cardiovascular Sciences, Clinical Sciences Wing, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Groby Road, Leicester, LE3 9QP, UK

    Unni Krishnan, Gerry P. McCann, Mark Hickey & Matthias Schmitt

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  1. Unni Krishnan
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  2. Gerry P. McCann
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  3. Mark Hickey
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  4. Matthias Schmitt
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Correspondence to Unni Krishnan.

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Krishnan, U., McCann, G.P., Hickey, M. et al. Role of contrast-enhanced magnetic resonance imaging in detecting early adverse remodeling and subacute ventricular wall rupture complicating myocardial infarction. Heart Vessels 23, 430–432 (2008). https://doi.org/10.1007/s00380-008-1063-8

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  • DOI: https://doi.org/10.1007/s00380-008-1063-8

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