Can Milking-Like Effect Be the First Clue of a Ventricular Free Wall Rupture?

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Abstract

Publication Date

3-1-2022

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine

Abstract

Ventricular free wall rupture (VFWR) is a catastrophic complication of myocardial infarction that poses an imminent surgical emergency. Early recognition is essential as it can expedite the process for a life-saving surgical intervention. We present a case of an acute left VFWR resulting from an underlying myocardial infarction which showed a "milking-like effect" during diagnostic angiography. "Milking-like effect" is an angiographic phenomenon typically seen in myocardial bridging, which occurs due to the compression of the intramyocardial coronary segments during systole. The presence of this phenomenon is believed to occur due to the extrinsic compression of the coronary by the evolving hemopericardium.

Publisher or Conference

Cureus

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