Introduction The incidence of mechanical complications (MC) after myocardial infarction (MI) was reduced to less than 1% with the routine use of primary reperfusion therapies. MC are classified as early, including acute and subacute forms, and late or chronic. The former mostly present as cardiogenic shock and the latter may vary from asymptomatic to sudden death. As all of these conditions may have potentially lethal consequences, timely diagnosis and treatment is necessary. – […]

Introduction The left ventricular (LV) pseudoaneurysm (PA) is a rare mechanical complication of acute myocardial infarction (AMI). It results from myocardial rupture, in which the hemorrhagic process is contained by the adherent pericardium. It occurs most commonly in the inferior and posterior ventricular wall, since the rupture of the anterior ventricular wall usually leads to cardiac tamponade and immediate death, while the inferior-posterior face of the heart rests on the diaphragm, facilitating the ventricular cavity containment by the pericardium. – […]

Introduction Mechanical complications after myocardial infarction (MI) have become uncommon since the introduction of primary angioplasty. They can lead to a rapid clinical deterioration and a fatal outcome, with patient’s survival being depen­dent on their prompt recognition and intervention. We describe a case of two rare mechanical complications: a partial papillary muscle rupture after MI, followed by an early severe obstructive thrombosis of the implanted bioprosthetic valve. […]