Case
Report
Embolic Myocardial Infarction and Left Ventricular Rupture Due to Mitral Valve Endocarditis

Eiki Tayama, MD,1 Shingo Chihara, MD,1 Shuji Fukunaga, MD,1 Hidetoshi Akashi, MD,1 Shigeaki Aoyagi, MD,1 and Kei-ichiro Mizoguchi, MD2

A left ventricular rupture due to embolic myocardial infarction is extremely rare. A 72-year-old woman developed an acute embolic myocardial infarction and mitral regurgitation due to infective endocarditis. Two days after the infarction, a left ventricular free wall rupture occurred after transesophageal echo examination. She received an epicardial patch and mitral valve replacement. Perioperatively, an intra-aortic balloon pump and long-term antibiotics were used. The postoperative course was uneventful, and she is doing well 10 months after surgery. (Ann Thorac Cardiovasc Surg 2007; 13: 206-208)

Key words: left ventricular rupture, embolic myocardial infarction, infective endocarditis

1Department of Surgery, Kurume University Hospital, Kurume, and 2Mizoguchi Circulatory Internal Medicine Clinic, Sasebo, Japan

Received October 3, 2006; accepted for publication October 26, 2006.
Address reprint requests to Eiki Tayama, MD: Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830–0011, Japan.

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