A case of COVID-19 infection, complicated by viral covid pneumonia, spontaneous rupture in the thinned part of a chronic aneurysm, with type 2 myocardial infarction

This report presents a case of spontaneous rupture in the thinned area of a chronic aneurysm during a type 2 myocardial infarction following SARS-CoV-2 (Severe Acute Respiratory Syndrome-related) infection. A 55-year-old female patient was hospitalized for several hours at a republican cardiology dispensary with a diagnosis of severe SARS-CoV-2 coronavirus infection and type 2 myocardial infarction. Pathological examination of the lungs revealed signs of viral interstitial pneumonia, and in the apex of the heart, in the area of post-infarction cardiosclerosis, there was a through defect measuring 1.5 cm with uneven edges. Microscopic examination showed interstitial edema and muscle fi bers lacking cross-striations, with signs of intracellular edema. Conclusion: This clinical case demonstrates spontaneous rupture in the thinned area of a chronic aneurysm during a type 2 myocardial infarction (against a background of metabolic disorders) in the context of viral pneumonia due to COVID-19.