Thorac Cardiovasc Surg 2011; 59(4): 248-250
DOI: 10.1055/s-0030-1250503
Case Reports/Cardiac

© Georg Thieme Verlag KG Stuttgart · New York

Delayed Two-Step Free Wall Rupture of the Right and Left Ventricular Wall after Myocardial Infarction

M. Y. Emmert1 , B. Weber1 , O. M. Theusinger2 , S. P. Hoerstrup1 , V. Falk1 , J. Grünenfelder1 , A. Plass1
  • 1Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland
  • 2Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland
Further Information

Publication History

received June 2, 2010 resubmitted September 5, 2010

accepted September 6, 2010

Publication Date:
31 March 2011 (online)


We present a 68-year-old female who suffered extensive complications after severe myocardial infarction (MI) in the circumflex (CX) territory. At 24 hours after the initial event, the patient presented with a covered right ventricular free wall rupture (FWR) which was followed by a rupture of the left posterior wall ten days later. We report here on a rare case of delayed two-step biventricular FWR after severe MI in the CX territory.


Maximilian Y. Emmert

Clinic for Cardiovascular Surgery
University Hospital Zurich

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