DOUBLE CARDIAC RUPTURE AFTER DIRECT INFARCT CORONARY ANGIOPLASTY - REPORT OF A CASE

The occurrence of double cardiac rupture (DCR) after a successful dire ct infarct coronary angioplasty (DICA) is extremely uncommon. We descr ibe herein the case of a patient who underwent delayed DICA and despit e successful recanalization, subsequently suffered DCR, as a postinfar ction ventricular septal defect (PIVSD) with left ventricular free wal l rupture (LVFWR). Emergency surgery was performed, and the patient is now doing well more than 2 years after his operation. The possible me chanisms of DCR after delayed DICA are discussed following the present ation of this unusual case.