Radiograph is nonspecific for distinguishing these entities from traumatic cardiac rupture and may demonstrate enlargement of the cardiac silhouette.
The vast majority of patients with cardiac rupture are not imaged given the immediate grave prognosis at the time of injury.
With effective control of secondary arrhythmias, cardiogenic shock and myocardial rupture are the most frequent causes of in-hospital deaths in patients who present with acute MI, out of which cardiac rupture contributes to one third of the deaths.
Since the postinfarction myocardial rupture of the posterobasal portion of the heart may be temporarily contained by pseudoaneurysm, it may represent a critical phase in the evolution of the catastrophic event, namely cardiac rupture.
Traumatic injuries of heart reported before are atrioventricular valve insufficiency, aortic insufficiency, VSD, atrial septal defect, coronary artery injury, hemopericardium, cardiac rupture
and cardiac contusion (3, 4).
Surgical repair of the rupture site is the definitive treatment for cardiac rupture
, although there are few data on operative mortality rates.
Objective: Characteristics of legal autopsy cases with cardiac rupture
following myocardial infarction are investigated in this retrospective observational study and the results are compared with a control group consisting of acute myocardial infarction cases without rupture.