Coronary disease & ACSResearch article
Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction
- Narrative review
Authors' conclusion
Optimal management should be guided by a multidisciplinary Heart Team approach (including Shock Team involvement where appropriate) with integration of palliative care into the decision-making process.
Study context
- Population
- Patients with ventricular free-wall rupture, ventricular pseudoaneurysm or papillary muscle rupture complicating acute MI
Main finding
As reported in the abstract
Mechanical complications after acute MI (free-wall rupture, pseudoaneurysm, papillary muscle rupture): occurrence and management
- Mechanical complications now occur in <1% of acute MI cases
- Transcatheter percutaneous procedures offer alternative strategies, especially for high-risk or inoperable patients
- Temporary mechanical circulatory support has shown encouraging results (bridge-to-procedure or bridge-to-recovery)
- Role of concomitant coronary revascularization remains controversial
Original publication
Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction. Eur Heart J. Published 11 May 2026. doi:10.1093/eurheartj/ehag164
Summarised from the published abstract; every number is checked against it