A 43-year-old male patient was admitted to coronary intensive care unit
with the diagnosis of acute inferolateral myocardial infarction and
with a picture of cardiogenic shock. In physical examination, systolic
blood pressure was 50 mmHg and diastolic blood pressure could not be
taken. The patient was diagnosed with cardiogenic shock and was started
on saline, dopamine and dobutamine infusion. His blood pressure did not
increase although the dosage of positive inotropic agents was
increased. A cardiac tamponade revealed with urgent echocardiographic
evaluation and pericardiocentesis was carried out. Blood pressure
returned to normal range within hours after pericardiosentesis.
Echocardiographic examination performed on the second day of AMI on the
asymptomatic patient revealed thrombosed myocardial rupture. The
patient was referred to emergency surgery with the diagnosis of
three-vessel disease and myocardial rupture according to urgent
angiography. In the operation, the ruptured region in the ventricle
free wall was primarily repaired. By-pass surgery was performed with
saphenous vein graft to the LAD and CV-OM1 coronary arteries
