Mechanical complications of myocardial infarction are potentially fatal
events that can occur after an acute myocardial infarction. While the
introduction of primary percutaneous reperfusion and fibrinolysis has reduced
the incidence of these complications to less than 1%. These complications pose
significant hemodynamic consequences and necessitate prompt diagnosis.
Echocardiography, cardiac magnetic resonance imaging, and computed tomography
are valuable tools for establishing an accurate and expedited diagnosis.
Consequently, it is imperative to conduct further scientific research to
enhance hemodynamic stabilization techniques such as intra-aortic balloon
counterpulsation and extracorporeal membrane oxygenation, in addition to
exploring new surgical procedures that can reduce mortality resulting from
mechanical complications. This article aims to provide a comprehensive review
of mechanical complications following myocardial infarction and their
correlation with multi-imaging, facilitating a better understanding of these
complications.
References
[1]
Kutty, R.S., Jones, N. and Moorjani, N. (2013) Mechanical Complications of Acute Myocardial Infarction. Cardiology Clinics, 31, 519-531.
https://doi.org/10.1016/j.ccl.2013.07.004
[2]
Damluji, A.A., van Diepen, S., Katz, J.N., Menon, V., Tamis-Holland, J.E., Bakitas, M., et al. (2021) Mechanical Complications of Acute Myocardial Infarction: A Scientific Statement from the American Heart Association. Circulation, 144, E16-E35.
https://doi.org/10.1161/CIR.0000000000000985
[3]
Gong, F.F., Vaitenas, I., Malaisrie, S.C. and Maganti, K. (2021) Mechanical Complications of Acute Myocardial Infarction: A Review. JAMA Cardiology, 6, 341-349.
https://doi.org/10.1001/jamacardio.2020.3690
[4]
Lattuca, B. and Cayla, G. (2022) Mechanical Complications of Acute Myocardial Infarction: A Not “Mechanical” Preventive and Therapeutic Strategy. Journal of Thoracic Disease, 14, 2732-2734.
https://jtd.amegroups.com/article/view/66375/html
https://doi.org/10.21037/jtd-2022-09
[5]
Kitahara, S., Fujino, M., Honda, S., Asaumi, Y., Kataoka, Y., Otsuka, F., et al. (2021) COVID-19 Pandemic Is Associated with Mechanical Complications in Patients with ST-Elevation Myocardial Infarction. Open Heart, 8, e001497.
https://doi.org/10.1136/openhrt-2020-001497
[6]
Lin, T.W., Tsai, M.T., Wu, H.Y., Roan, J.N. and Luo, C.Y. (2021) Mechanical Complications of Acute Myocardial Infarction during the COVID-19 Pandemic. Acta Cardiological Sinica, 37, 114-116.
[7]
Damluji, A.A., Gangasani, N.R. and Grines, C.L. (2022) Mechanical Complication of Acute Myocardial Infarction Secondary to COVID-19 Disease. Cardiology Clinics, 40, 365-373. https://doi.org/10.1016/j.ccl.2022.05.001
[8]
Kono, T., Takagi, K., Negoto, S. and Tayama, E. (2022) Anterior Papillary Muscle Rupture Due to Acute Myocardial Microinfarction of the Small High Lateral Branch. Case Reports in Cardiology, 2022, Article ID 7149724.
https://www.hindawi.com/journals/cric/2022/7149724/
https://doi.org/10.1155/2022/7149724
[9]
Hamid, U.I., Aksoy, R. and Nia, P.S. (2022) Mitral Valve Repair in Papillary Muscle Rupture. Annals of Cardiothoracic Surgery, 11, 281-289.
https://doi.org/10.21037/acs-2021-ami-23
[10]
Reeder, G.S. (1995) Identification and Treatment of Complications of Myocardial Infarction. Mayo Clinic Proceedings, 70, 880-884.
https://doi.org/10.1016/S0025-6196(11)63946-3
[11]
Lavie, C.J. and Gersh, B.J. (1990) Mechanical and Electrical Complications of Acute Myocardial Infarction. Mayo Clinic Proceedings, 65, 709-730.
https://doi.org/10.1016/S0025-6196(12)65133-7
[12]
de la Torre Hernández, J.M. (2018) Mechanical Complications in Elderly Patients with Myocardial Infarction: Becoming Fewer But Just as Fatal. Journal of the American College of Cardiology, 72, 967-969. https://doi.org/10.1016/j.jacc.2018.06.032
[13]
Durko, A.P., Budde, R.P.J., Geleijnse, M.L. and Kappetein, A.P. (2018) Recognition, Assessment and Management of the Mechanical Complications of Acute Myocardial Infarction. Heart, 104, 1216-1223. https://doi.org/10.1136/heartjnl-2017-311473
[14]
Harari, R., Bansal, P., Yatskar, L., Rubinstein, D. and Silbiger, J.J. (2017) Papillary Muscle Rupture following Acute Myocardial Infarction: Anatomic, Echocardiographic, and Surgical Insights. Echocardiography, 34, 1702-1707.
https://doi.org/10.1111/echo.13739
[15]
Rajiah, P., Fulton, N.L. and Bolen, M. (2019) Magnetic Resonance Imaging of the Papillary Muscles of the Left Ventricle: Normal Anatomy, Variants, and Abnormalities. Insights Imaging, 10, Article No. 83.
https://doi.org/10.1186/s13244-019-0761-3
[16]
Bajaj, A., Sethi, A., Rathor, P., Suppogu, N. and Sethi, A. (2015) Acute Complications of Myocardial Infarction in the Current Era: Diagnosis and Management. Journal of Investigative Medicine, 63, 844-855.
https://doi.org/10.1097/JIM.0000000000000232
[17]
Matteucci, M., Fina, D., Jiritano, F., Meani, P., Blankesteijn, W.M., Raffa, G.M., et al. (2019) Treatment Strategies for Post-Infarction Left Ventricular Free-Wall Rupture. European Heart Journal—Acute Cardiovascular Care, 8, 379-387.
https://doi.org/10.1177/2048872619840876
[18]
Pohjola-Sintonen, S., Muller, J.E., Stone, P.H., Willich, S.N., Antman, E.M., Davis, V.G., et al. (1989) Ventricular Septal and Free Wall Rupture Complicating Acute Myocardial Infarction: Experience in the Multicenter Investigation of Limitation of Infarct Size. American Heart Journal, 117, 809-818.
https://pubmed.ncbi.nlm.nih.gov/2648779/
https://doi.org/10.1016/0002-8703(89)90617-0
[19]
van Mantgeml, J.P. and Becker, A.E. (1976) Developing Cardiac Rupture as Initial sign of Acute Myocardial Infarction. Heart, 38, 1073-1079.
https://doi.org/10.1136/hrt.38.10.1073
[20]
Purcaro, A., Costantini, C., Ciampani, N., Mazzanti, M., Silenzi, C., Gili, A., et al. (1997) Diagnostic Criteria and Management of Subacute Ventricular Free Wall Rupture Complicating Acute Myocardial Infarction. The American Journal of Cardiology, 80, 397-405. https://pubmed.ncbi.nlm.nih.gov/9285648/
https://doi.org/10.1016/S0002-9149(97)00385-8
[21]
Haddadin, S., Milano, A.D., Faggian, G., Morjan, M., Patelli, F., Golia, G., et al. (2009) Surgical Treatment of Postinfarction Left Ventricular Free Wall Rupture. Journal of Cardiac Surgery, 24, 624-631.
https://pubmed.ncbi.nlm.nih.gov/20078707/
https://doi.org/10.1111/j.1540-8191.2009.00896.x
[22]
Gong, W. and Nie, S. (2021) New Clinical Classification for Ventricular Free Wall Rupture following Acute Myocardial Infarction. Cardiovascular Therapeutics, 2021, Article ID 1716546. https://doi.org/10.1155/2021/1716546
[23]
Uchida, K., Yasuda, S., Cho, T., Kobayashi, Y., Matsumoto, A., Matsuki, Y., et al. (2022) Proposal of a New Classification: “Sealed Type” Postinfarction Left Ventricular Free Wall Rupture. General Thoracic and Cardiovascular Surgery, 70, 526-530. https://doi.org/10.1007/s11748-021-01730-1
[24]
Matteucci, M., Kowalewski, M., de Bonis, M., Formica, F., Jiritano, F., Fina, D., et al. (2021) Surgical Treatment of Post-Infarction Left Ventricular Free-Wall Rupture: A Multicenter Study. The Annals of Thoracic Surgery, 112, 1186-1192.
https://doi.org/10.1016/j.athoracsur.2020.11.019
[25]
Antunes, M.J. (2021) Left Ventricular Free Wall Rupture: A Real Nightmare. Journal of Cardiac Surgery, 36, 3334-3336. https://doi.org/10.1111/jocs.15697
[26]
Shiozaki, A.A., Filho, R.A.D.F., Dallan, L.A.O., de Oliveira, S.A., Nicolau, J.C. and Rochitte, C.E. (2007) Left Ventricular Free-Wall Rupture after Acute Myocardial Infarction Imaged by Cardiovascular Magnetic Resonance. Journal of Cardiovascular Magnetic Resonance, 9, 719-721. https://doi.org/10.1080/10976640701317051
[27]
Shiyovich, A. and Nesher, L. (2012) Contained Left Ventricular Free Wall Rupture following Myocardial Infarction. Case Reports in Critical Care, 2012, Article ID: 467810. https://doi.org/10.1155/2012/467810
[28]
Brenes, J.A., Keifer, T., Karim, R.M. and Shroff, G.R. (2012) Adjuvant Role of CT in the Diagnosis of Post-Infarction Left Ventricular Free-Wall Rupture. Cardiology Research, 3, 284-287. https://doi.org/10.4021/cr239w
[29]
Vallabhajosyula, S., Bell, M.R., Sandhu, G.S., Jaffe, A.S., Holmes Jr., D.R. and Barsness, G.W. (2020) Complications in Patients with Acute Myocardial Infarction Supported with Extracorporeal Membrane Oxygenation. Journal of Clinical Medicine, 9, Article 839. https://doi.org/10.3390/jcm9030839
[30]
Jones, B.M., Kapadia, S.R., Smedira, N.G., Robich, M., Tuzcu, E.M., Menon, V., et al. (2014) Ventricular Septal Rupture Complicating Acute Myocardial Infarction: A Contemporary Review. European Heart Journal, 35, 2060-2068.
https://doi.org/10.1093/eurheartj/ehu248
[31]
Mubarik, A. and Iqbal, A.M. (2022) Ventricular Septal Rupture. StatPearls.
https://www.ncbi.nlm.nih.gov/books/NBK534857/
[32]
Amin, S., Hossain, R., Jeudy, J., Frazier, A.A. and White, C. (2018) A Sensible Approach to Diagnosing Cardiac Aneurysms, Pseudoaneurysms and Common Mimickers. Journal of Thoracic Imaging, 33, 39-47.
https://doi.org/10.1097/RTI.0000000000000355
[33]
Gassenmaier, T. (2013) Impact of Cardiac Magnet Resonance Imaging on Management of Ventricular Septal Rupture after Acute Myocardial Infarction. World Journal of Gastroenterology, 5, 151-153. https://doi.org/10.4330/wjc.v5.i5.151
[34]
Ghersin, E., Lessick, J., Abadi, S., Agmon, Y., Adler, Z., Engel, A., et al. (2008) Ventricular Septal Rupture Complicating Myocardial Infarction: Comprehensive Assessment of Cardiac Coronary Arteries, Anatomy, Perfusion, and Function by Multidetector Computed Tomography. Canadian Journal of Cardiology, 24, e21-e22.
https://doi.org/10.1016/S0828-282X(08)70594-4
[35]
Bittencourt, M.S., Seltmann, M., Muschiol, G. and Achenbach, S. (2010) Ventricular Septal Rupture and Right Ventricular Intramyocardial Dissection Secondary to Acute Inferior Myocardial Infarction. Journal of Cardiovascular Computed Tomography, 4, 342-344. https://doi.org/10.1016/j.jcct.2010.05.019
[36]
Palma Dallan, L.A., Palma Dallan, L.R., Ferreira, L.A. and Oliveira Dall, L.A. (2014) Mechanical Complications of Acute Myocardial Infarction. In: Maluf, M.A. and Barbosa Evora, P.R., Eds., Cardiac Surgery—A Commitment to Science, Technology and Creativity, IntechOpen, London, 101-114.
http://www.intechopen.com/books/cardiac-surgery-a-commitment-to-science-technology-and-creativity/mechanical-complications-of-acute-myocardial-infarction
https://doi.org/10.5772/57110
[37]
Coyan, G., Anand, N., Imran, M., Gomez, H., Ramanan, R., Murray, H., et al. (2022) ECMO and Impella Support Strategies as a Bridge to Surgical Repair of Post-Infarction Ventricular Septal Rupture. Medicina, 58, Article 611.
https://doi.org/10.3390/medicina58050611
[38]
Lundblad, R. and Abdelnoor, M. (2014) Surgery of Postinfarction Ventricular Septal Rupture: The Effect of David Infarct Exclusion versus Daggett Direct Septal Closure on Early and Late Outcomes. The Journal of Thoracic and Cardiovascular Surgery, 148, 2736-2742. https://doi.org/10.1016/j.jtcvs.2014.06.076
Attia, R. and Blauth, C. (2010) Which Patients Might Be Suitable for a Septal Occluder Device Closure of Postinfarction Ventricular Septal Rupture Rather than Immediate Surgery? Interactive CardioVascular and Thoracic Surgery, 11, 626-629.
https://doi.org/10.1510/icvts.2010.233981
[41]
Sattar, Y. and Alraies, M.C. (2021) Ventricular Aneurysm. StatPearls.
https://www.ncbi.nlm.nih.gov/books/NBK555955/
[42]
Sharma, A. and Kumar, S. (2015) Overview of Left Ventricular Outpouchings on Cardiac Magnetic Resonance Imaging. Cardiovascular Diagnosis and Therapy, 5, 464-470. http://www.ncbi.nlm.nih.gov/pubmed/26675616
[43]
El Ouazzani, J. and Jandou, I. (2022) Aneurysm and Pseudoaneurysm of the Left Ventricle. Annals of Medicine & Surgery, 75, Article ID: 103405.
https://doi.org/10.1016/j.amsu.2022.103405
[44]
Zhang, Z. and Guo, J. (2020) Predictive Risk Factors of Early Onset Left Ventricular Aneurysm Formation in Patients with Acute ST-Elevation Myocardial Infarction. Heart & Lung, 49, 80-85. https://doi.org/10.1016/j.hrtlng.2019.09.005
[45]
Kazmierczak, E., Juszkat, R., Perek, B. and Straburzynska-Migaj, E. (2022) Left Ventricular Aneurysm in a Patient with Hypertrophic Obstructive Cardiomyopathy Diagnosed in Computed Tomography. Kardiologia Polska, 73, 60.
https://journals.viamedica.pl/kardiologia_polska/article/view/KP.2015.0008/57543
https://doi.org/10.5603/KP.2015.0008
[46]
Ko, S.M., Hwang, S.H. and Lee, H.J. (2019) Role of Cardiac Computed Tomography in the Diagnosis of Left Ventricular Myocardial Diseases. Journal of Cardiovascular Imaging, 27, 73-92. https://doi.org/10.4250/jcvi.2019.27.e17
[47]
Sitta, J. and Howard, C.M. (2021) Left Ventricular Pseudoaneurysm: An Unexpected Finding. Radiology Case Reports, 16, 538-542.
https://doi.org/10.1016/j.radcr.2020.12.028
[48]
Caldeira, A., Albuquerque, D., Coelho, M. and Corte-Real, H. (2019) Left Ventricular Pseudoaneurysm: Imagiologic and Intraoperative Images. Circulation: Cardiovascular Imaging, 12, e009500. https://doi.org/10.1161/CIRCIMAGING.119.009500
[49]
Buerke, M., Lemm, H., Dietz, S. and Werdan, K. (2011) Pathophysiology, Diagnosis, and Treatment of Infarction-Related Cardiogenic Shock. Herz, 36, 73-83.
https://pubmed.ncbi.nlm.nih.gov/21424345/
https://doi.org/10.1007/s00059-011-3434-7
[50]
Frances, C., Romero, A. and Grady, D. (1998) Left Ventricular Pseudoaneurysm. Journal of the American College of Cardiology, 32, 557-561.
https://pubmed.ncbi.nlm.nih.gov/9741493/
https://doi.org/10.1016/S0735-1097(98)00290-3
[51]
Inayat, F., Ghani, A.R., Riaz, I., Ali, N.S., Sarwar, U., Bonita, R., et al. (2018) Left Ventricular Pseudoaneurysm: An Overview of Diagnosis and Management. Journal of Investigative Medicine High Impact Case Reports, 6, 1-6.
https://pubmed.ncbi.nlm.nih.gov/30090827/
https://doi.org/10.1177/2324709618792025
[52]
Ronco, D., Matteucci, M., Ravaux, J.M., Marra, S., Torchio, F., Corazzari, C., et al. (2021) Mechanical Circulatory Support as a Bridge to Definitive Treatment in Post-Infarction Ventricular Septal Rupture. JACC: Cardiovascular Interventions, 14, 1053-1066. https://doi.org/10.1016/j.jcin.2021.02.046
