Subacute Left Ventricular Free Wall Rupture after Delayed STEMI Presentation During the COVID-19 Pandemic

JACC Case Rep. 2020 Aug;2(10):1603-1609. doi: 10.1016/j.jaccas.2020.06.040. Epub 2020 Jul 8.

Abstract

The coronavirus disease-2019 (COVID-19) pandemic is causing delayed ST-segment elevation myocardial infarction (STEMI) presentations associated with now unusual postinfarction complications. We describe a delayed (5-day) STEMI presentation because the patient feared contracting COVID-19 in the hospital. The patient experienced an extensive anterolateral STEMI complicated by subacute left ventricular free wall rupture that required a rapid surgical repair. (Level of Difficulty: Intermediate.).

Keywords: COVID-19, coronavirus disease-2019; CT, computed tomography; ECG, electrocardiogram; LAD, left anterior descending; LV, left ventricular; LVFWR; LVFWR, left ventricular free wall rupture; PCI, percutaneous coronary intervention; RV, right ventricular; STEMI, ST-segment elevation myocardial infarction; TTE, transthoracic echocardiogram; coronary angiography; coronavirus disease-2019; left ventricular aneurysm; myocardial infarction; percutaneous coronary intervention; pericardial effusion.

Publication types

  • Case Reports