DefinePK

Abstract

Introduction


Left ventricular free wall rupture (LVFWR) is an unpredictable complication of acute myocardial infarction (AMI) with an incidence of 4-6% accounting for 8-17% mortality1 only second to pump failure. LVFWR may not be suddenly fatal, upto 40% of deaths occur sub-acutely over a matter of hours. If this condition goes untreated, death is almost certain with only 17 survivals reported without surgical repair2,3. First report for surgical repair in LVFWR was by Montegut4 in 1972, since then scattered case reports and small series of surgical experiences have appeared in European, American and Japanese literature1. At Medline search from 1966, no report from Southeast Asia was found and to the best of our knowledge this is the first case report form Pakistan.