Ischemic Rupture and Myocardial Blunt Dissection

Cardiac rupture is a high-mortality complication of myocardial infarction. The paths of intramyocardial dissections follow patterns that could be related to myocardial structure. We present the case of a complex postinfarction interventricular communication with intramyocardial paths similar to those observed in blunt dissections of the heart. This case presents a correlation between postinfarction rupture and blunt dissection patterns that is previously unreported, to our knowledge, in the literature.