Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl


Preferences help
enabled [disable] Abstract
Number of results


2014 | 9 | 1 | 45-48

Article title

Cardiac death by rupture of the right ventricular wall and hemopericardium


Title variants

Languages of publication



Right Ventricular (RV) rupture is a rare and dangerous complication of acute myocardial infarction. There are limited reports on RV free wall rupture. In this paper we describe the outcome of an autopsy case of cardiac death by rupture of the free wall of the right ventricle in a 51-year-old man with coronary artery disease and hypertrophic-sclerotic cardiomyopathy.










Physical description


1 - 2 - 2014
4 - 2 - 2014


  • Department of Anatomical Sciences, histological, legal medicine and locomotor apparatus, University “Sapienza” of Rome, 00161, Rome, Italy
  • Department of Anatomical Sciences, histological, legal medicine and locomotor apparatus, University “Sapienza” of Rome, 00161, Rome, Italy


  • [1] Myerburg RJ, Castellanos A. Cardiac arrest and sudden cardiac death. In: Braunwald E, ed., Heart disease: a textbook of cardiovascular medicine. New York: WB Saunders Publishing Co, 1997: 742–779
  • [2] Roberts WC, Kragel AH, Bertz D, Roberts LS. Coronary arteries in unstable angina pectoris, acute myocardial infarction and sudden cardiac death. Am Heart J. 1994;127:1588–1593 http://dx.doi.org/10.1016/0002-8703(94)90390-5[Crossref]
  • [3] Myerburg RJ, Kessler KM, Castellanos A. Sudden cardiac death epidemiology, transient risk, and intervention assessment. Ann Intern Med 1993;119:1187–1197 http://dx.doi.org/10.7326/0003-4819-119-12-199312150-00006[Crossref]
  • [4] Bonini RC, Verazain VQ, Mustafa RM, Neumman Y, Assad M, Issa HE, Cintra U, Golghetto JJ. Rupture of the right ventricular free wall after myocardial infarction. Rev Bras Cir Cardiovasc. 2012 Jan-Mar;27(1):155–159 http://dx.doi.org/10.5935/1678-9741.20120023[Crossref]
  • [5] Depukat R, Chyrchel M, Dudek D. Left ventricular free wall rupture as a mechanical complication in ST-segment elevation acute myocardial infarction. Kardiol Pol. 2012;70(12):1309–1312
  • [6] Sugiura T, Nagahama Y, Nakamura S, et al. Left ventricular free wall rupture after reperfusion therapy for acute myocardial infarction. Am J Cardiol 2003; 92(3):282–284 http://dx.doi.org/10.1016/S0002-9149(03)00625-8[Crossref]
  • [7] Akcay M, Senkaya E B, Bilge M, Yeter E, Kurt M, Davutoglu V. Rare mechanical complication of myocardial infarction: isolated right ventricle free wall rupture. Singapore Med J 2011; 52(1): e7–9
  • [8] Arat N, Sökmen Y, Ilkay E. Isolated right ventricular rupture: a rare complication of myocardial infarction. Acta Cardiol. 2007 Aug;62(4):413–416 http://dx.doi.org/10.2143/AC.62.4.2022287[Crossref]
  • [9] Akcay M, Senkaya EB, Bilge M, Yeter E, Misra MC, Kurt M, Davutoglu V. Rare mechanical complication of myocardial infarction: isolated right ventricle free wall rupture. Singapore Med J. 2011 Jan;52(1):e7–9
  • [10] Gorman R, Nuttall SM. Traumatic right ventricular rupture following a horse kick. BMJ Case Rep. 2012 Nov 21;2012
  • [11] Sokolove PE, Willis-Shore J, Panacek EA. Exsanguination due to right ventricular rupture during closed-chest cardiopulmonary resuscitation. J Emerg Med. 2002 Aug;23(2):161–164 http://dx.doi.org/10.1016/S0736-4679(02)00504-8[Crossref]
  • [12] Gouda HS, Kumar L, Malur PR, Patil SY. Cardiac tamponade secondary to fulminant myocarditis - A case of custodial death. J Forensic Leg Med. 2011 Jan;18(1):30–33 http://dx.doi.org/10.1016/j.jflm.2010.10.005[Crossref]
  • [13] Niclauss L, Delay D, Stumpe F. Right ventricular rupture due to recurrent mediastinal infection with a closed chest. Interact Cardiovasc Thorac Surg. 2010 Mar;10(3):470–472 http://dx.doi.org/10.1510/icvts.2009.223891[WoS][Crossref]
  • [14] Hirose H, Yamane K, Marhefka G, Cavarocchi N. Right ventricular rupture and tamponade caused by malposition of the Avalon cannula for venovenous extracorporeal membrane oxygenation. J Cardiothorac Surg. 2012 Apr 20;7:36 http://dx.doi.org/10.1186/1749-8090-7-36[WoS][Crossref]
  • [15] Trzebicki J, Lisik W, Blaszczyk B, Pacholczyk M, Fudalej M, Chmura A, Lazowski T. Unexpected fatal right ventricular rupture during liver transplantation: case report. Ann Transplant. 2011 Jan-Mar;16(1):70–74
  • [16] Massoni F, Cassese M, Nicoletti M, Ricci S. Rupture of the right ventricular wall closed with Daflon patching and biological glue. Clin Ter. 2012 Jul;163(4):e177–180
  • [17] Chagas AC, da Luz PL. Hypertrophic response to cardiac overload. Similarities and differences between left ventricular hypertrophy as response to pressure overload or to volumetric overload. Arq Bras Cardiol. 1995 Dec;65(6):541–544
  • [18] Pappas L, Filippatos G. Pulmonary congestion in acute heart failure: from hemodynamics to lung injury and barrier dysfunction. Rev Esp Cardiol. 2011 Sep;64(9):735–738 http://dx.doi.org/10.1016/j.recesp.2011.05.006[WoS][Crossref]
  • [19] Gottlieb S, Moss AJ, McDermott M, Eberly S. Interrelation of left ventricular ejection fraction, pulmonary congestion and outcome in acute myocardial infarction. Am J Cardiol. 1992 Apr 15;69(12):977–984 http://dx.doi.org/10.1016/0002-9149(92)90850-X[Crossref]
  • [20] Zipes DP, Libbi P, Bonow RO, Braunwald E. Malattie del cuore. Trattato di medicina cardiovascolare. VII ed. Padova: Piccin, 2007; vol. II: 1202–1203
  • [21] Alenghat FJ, Couper GS, Givertz MM. Giant left ventricular aneurysm as a late complication of inferior myocardial infarction. Eur Heart J. 2013 Feb;34(5):344 http://dx.doi.org/10.1093/eurheartj/ehs357[Crossref]
  • [22] Teixeira Filho GF, Schvartzmann P, Kersten RN. Right ventricular aneurysm following right ventricular infarction. Heart. 2004 Apr;90(4):472 http://dx.doi.org/10.1136/hrt.2003.021477[Crossref]
  • [23] Akdemir O, Gül C, Ozbay G. Right ventricular aneurysm complicating right ventricular infarction. Acta Cardiol. 2001 Aug;56(4):261–262 http://dx.doi.org/10.2143/AC.56.4.2005655[Crossref]
  • [24] Kodikara S. A death following hemopericardium due to rupture of a right ventricular aneurysm due to a congenital ventricular septal defect. J Forensic Sci. 2013 Jan;58Suppl 1:S258–260 http://dx.doi.org/10.1111/j.1556-4029.2012.02251.x[WoS][Crossref]
  • [25] Cotran RS, Kumar V, Collins T. Robbins. Le basi patologiche delle malattie. VI ed. Padova: Piccin, 2000; vol. I:659
  • [26] de Lemos JA, Gibson CM, Antman EM, et al. Abciximab and early adjunctive percutaneous coronary intervention are associated with improved ST-segment resolution after thrombolysis: observations from the TIMI 14 Trial. Am Heart J 2001;141(4):592–598 http://dx.doi.org/10.1067/mhj.2001.113574[Crossref]
  • [27] Antman EM, Cooper HA, Gibson CM, et al. Determinants of improvement in epicardial flow and myocardial perfusion for ST elevation myocardial infarction: insights from TIMI 14 and InTIME-II. Eur Heart J 2002;23(12): 928–933 http://dx.doi.org/10.1053/euhj.2001.2964[Crossref]
  • [28] Baran KW, Nguyen M, McKendall GR, et al. Double-blind, randomized trial of an anti-CD18 antibody in conjunction with recombinant tissue plasminogen activator for acute myocardial infarction: limitation of myocardial infarction following thrombolysis in acute myocardial infarction (LIMIT AMI) study. Circulation 2001;104(23):2778–2783 http://dx.doi.org/10.1161/hc4801.100236[Crossref]
  • [29] Faxon DP, Gibbons RJ, Chronos NA, et al. The effect of blockade of the CD11/CD18 integrin receptor on infarct size in patients with acute myocardial infarction treated with direct angioplasty: The results of the HALT-MI study. J Am Coll Cardiol 2002;40(7):1199–1204 http://dx.doi.org/10.1016/S0735-1097(02)02136-8[Crossref]
  • [30] Wang K, Zhou X, Zhou Z, et al. Recombinant soluble P-selectin glycoprotein ligand-Ig (rPSGL-Ig) attenuates infarct size and myeloperoxidase activity in a canine model of ischemia-reperfusion. Thromb Haemost 2002;88(1):149–154
  • [31] Mahaffey KW, Granger CB, Nicolau JC, et al. Effect of pexelizumab, an anti-C5 complement antibody, as adjunctive therapy of fibrinolysis in acute myocardial infarction: the COMPlement inhibition in myocardial infarction treated with thromboLYtics (COMPLY) trial. Circulation 2003;108(10):1176–1183 http://dx.doi.org/10.1161/01.CIR.0000087404.53661.F8[Crossref]
  • [32] Abusaid GH, Khalife WI. Reduced coronary blood flow in cardiac tamponade: mystery solved. J Invasive Cardiol. 2012 Dec;24(12):E328–329

Document Type

Publication order reference


YADDA identifier

JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.