A Rare Case of Left Ventricle Free Wall Rupture at two sites Secondary to Myocardial Infarction: An Autopsy Case

Abstract

 Background: About 40–50% of occurrences of sudden death are due to cardiovascular reasons, with acute myocardial infarction (AMI) being the most common cause. Case Details: The subject was 57 years male having alleged history of sudden fell down at his house and was unresponsive since then. He was brought to the Emergency Department of H.N.B Base hospital Srinagar, Garhwal, Uttarakhand. Autopsy Findings: On opening pericardium, 190 grams of clotted blood was present in the pericardial cavity. Grossly enlarged heart. Weight of heart: 560 grams. Epicardial fat covers approx. 2/3rd of the heart’s surface. It is present over the right ventricle especially along the right border, anterior surface and at the apex and along the distribution of coronary arteries. Discussion: A myocardial rupture is the rupturing of one or more heart valves, the papillary muscles or chordae tendineae, the interatrial or interventricular septum, or the ventricles or atria of the heart.