Successful emergency surgical intervention in acute non-STsegment elevation myocardial infarction with rupture:A case report  

作　　者：Xing-Po Li Zi-Shan Wang Hong-Xia Yu Shan-Shan Wang 

机构地区：[1]Department of Cardiovascular Medicine,Huantai County Hospital of Traditional Chinese Medicine,Zibo 256400,Shandong Province,China [2]Department of Cardiovascular Medicine,Zibo Hospital of Integrated Traditional Chinese and Western Medicine,Zibo 255500,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2025年第4期41-47,共7页世界临床病例杂志（英文）

摘　　要：BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular free wall rupture(FWR)occurs in approximately 2%of AMI patients and is notably rare in patients with non-STEMI.Types of cardiac rupture include left ventricular FWR,ventricular septal rupture,and papillary muscle rupture.The FWR usually leads to acute cardiac tamponade or electromechanical dissociation,where standard resuscitation efforts may not be effective.Ventricular septal rupture and papillary muscle rupture often result in refractory heart failure,with mortality rates over 50%,even with surgical or percutaneous repair options.CASE SUMMARY We present a rare case of an acute non-STEMI patient who suffered sudden FWR causing cardiac tamponade and loss of consciousness immediate before undergoing coronary angiography.Prompt resuscitation and emergency open-heart repair along with coronary artery bypass grafting resulted in successful patient recovery.CONCLUSION This case emphasizes the risks of AMI complications,shares a successful treatment scenario,and discusses measures to prevent such complications.

关 键 词：Acute non-ST segment elevation myocardial infarction Cardiac rupture Acute myocardial infarction Free wall rupture Case report 

分 类 号：R654.2[医药卫生—外科学]