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Angiography Demonstrating 2 Perforations in the LV Free Wall

Gustavo N. Araujo, MD, PhD;  Julia L. Custodio, MD;  Luiz C. Bergoli, MD, MSc

Video supplement to ”Left Ventricular Free-Wall Rupture After Late-Admission STEMI,” by Araujo, et al. (May 2022 Clinical Images).

A 93-year-old female patient with previous history of hypertension, atrial fibrillation, and ischemic stroke presented at the emergency department due to epigastric pain, malaise, sweating, and somnolence with 24 hours of evolution. This case illustrates a rare but catastrophic complication of acute myocardial infarction, ie, acute rupture of the left ventricular free wall. 

Read the accompanying Clinical Images article HERE