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Unexpected outcome (positive or negative) including adverse drug reactions
Impending myocardial rupture: is an early surgical treatment enough?
  1. Davide Lanzellotti,
  2. Filippo Marzot,
  3. Cosimo Guglielmi,
  4. Marco Panfili
  1. Scienze Cardiologiche, Toraciche E Vascolari, Azienda Ospedaliera Di Padova, Padova, Italy
  1. Correspondence to Dr Marco Panfili, marcopanfili67{at}


A 53-year-old man with a high-risk cardiovascular profile presented to the emergency department for a subacute myocardial infarction with signs and symptoms suggesting impending myocardial rupture. The case seemed to be resolved by an early successful surgical intervention. At 6-month follow-up, after repeated cycles of cardiac rehabilitation, the echocardiography revealed a pseudo-aneurysm of the apex and a left-to-right shunt through an inter-ventricular septum defect. The patient needed a new surgical intervention to repair this unexpected complication.

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  • Competing interests None.

  • Patient consent Obtained.

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