Supplement to: Anderson JL, Morrow DA. Acute myocardial infarction. N Engl J Med 2017;376:2053-64. DOI: 10.1056/NEJMra1606915
Specifically pages 6-7 regards Mechanical complications
AMI with mechanical complications includes free wall (cardiac tamponade) or septal rupture (acute Ventricular Septal Defect [VSD]), papillary muscle dysfunction or disruption (acute mitral regurgitation) and ventricular aneurism.
Mechanical complications require prompt diagnosis and high-risk corrective surgery. Surgical outcomes, while associated significant mortality represent the outcomes that succeed no surgery.