Roberto, L., Matteo, M., Daniele, R., Giulio, M., Susanna, P., Martin, C., Rodrigo, E.L., Matthias, S., Gianluca, P., Christian, H., Ovidiu, C., Marco, Z., H, D.C., Marianna, A., Finn, G., George, G., Nicolas, A., Alessandro, S., Matthias, T., . . . Nikolaos, B. (2026). Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction.. European heart journal.
Roberto L, Matteo M, Daniele R, Giulio M, Susanna P, Martin C, et al. Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction.. European heart journal. 2026; PMID: 42112704
Roberto L, Matteo M, Daniele R, et al. Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction.[J]. European heart journal. 2026.
@article{roberto2026,
author = {Lorusso Roberto and Matteucci Matteo and Ronco Daniele and Massimi Giulio and Price Susanna and Czerny Martin and Estévez-Loureiro Rodrigo and Siepe Matthias and Pontone Gianluca and Hassager Christian and Chioncel Ovidiu and Zuin Marco and Davos Constantinos H and Adamo Marianna and Gustafsson Finn and Giannakoulas George and Amabile Nicolas and Sionis Alessandro and Thielmann Matthias and Petersen Steffen Erhard and Cosyns Bernard and Huber Kurt and Tokmakova Mariya and Pacini Davide and Klok Frederikus A and Saia Francesco and Abreu Ana and Grimm Michael and Claeys Marc J and García-Álvarez Ana and Gerber Bernhard and Mestres Carlos A and Rosenkranz Stephan and Adamopoulos Stamatis and Bonaros Nikolaos},
title = {Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction.},
journal = {European heart journal},
year = {2026},
note = {PMID: 42112704},
}
TY - JOUR AU - Lorusso Roberto AU - Matteucci Matteo AU - Ronco Daniele AU - Massimi Giulio AU - Price Susanna AU - Czerny Martin AU - Estévez-Loureiro Rodrigo AU - Siepe Matthias AU - Pontone Gianluca AU - Hassager Christian AU - Chioncel Ovidiu AU - Zuin Marco AU - Davos Constantinos H AU - Adamo Marianna AU - Gustafsson Finn AU - Giannakoulas George AU - Amabile Nicolas AU - Sionis Alessandro AU - Thielmann Matthias AU - Petersen Steffen Erhard AU - Cosyns Bernard AU - Huber Kurt AU - Tokmakova Mariya AU - Pacini Davide AU - Klok Frederikus A AU - Saia Francesco AU - Abreu Ana AU - Grimm Michael AU - Claeys Marc J AU - García-Álvarez Ana AU - Gerber Bernhard AU - Mestres Carlos A AU - Rosenkranz Stephan AU - Adamopoulos Stamatis AU - Bonaros Nikolaos TI - Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction. T2 - European heart journal PY - 2026 AN - PMID:42112704 ER -
The prevalence of mechanical complications following acute myocardial infarction has steadily declined in recent years owing to advances in prompt coronary revascularization, and they now occur in <1% of acute myocardial infarction cases. Nevertheless, significant haemodynamic impairment may already be present at hospital admission, requiring immediate diagnostic evaluation and urgent intervention. Until recently, surgical repair was the only treatment option, with non-negligible in-hospital mortality rates, particularly among patients with acute cardio-circulatory failure. Advances in transcatheter percutaneous procedures have now introduced alternative treatment strategies, especially for high-risk or inoperable patients. Recurrence of post-acute myocardial infarction mechanical complications, even shortly after the repair of the underlying lesion, has a critical impact on patient outcome and underscores the need for careful monitoring during hospitalization as well as after discharge. The role of concomitant coronary revascularization remains controversial, with variable effects on both early and late outcomes, and warrants further investigation. Temporary mechanical circulatory support has shown encouraging results, either for pre-procedural haemodynamic stabilization ('bridge-to-procedure') or for prophylactic, extended peri-procedural support to facilitate myocardial recovery ('bridge-to-recovery'). 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.