Myocardial Infarction with Hemopericardium: A Case of Sealed Rupture

Ventricular free wall rupture is a rare complication of acute myocardial infarction (MI). It can present in acute lethal forms like a blowout type or subacute form where the blood clot, in rare circumstances, seals the defect. A 72-year-old male presented with MI and had pericardial effusion with a...

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Bibliographic Details
Main Authors: Rajesh Gopalan Nair, Madurai Shanmugasundaram Shivendrran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
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Online Access:https://journals.lww.com/10.4103/jiae.jiae_39_24
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Summary:Ventricular free wall rupture is a rare complication of acute myocardial infarction (MI). It can present in acute lethal forms like a blowout type or subacute form where the blood clot, in rare circumstances, seals the defect. A 72-year-old male presented with MI and had pericardial effusion with a clot on the echocardiogram. He was diagnosed with a left ventricular free wall rupture (LVFWR) and proceeded with emergency surgery, where the rupture site was closed with pericardium. The surgeon retrieved a large clot in the pericardium that was sealing the perforation site – preventing cardiac tamponade. Hence, it is necessary to identify sealed free wall rupture cases.
ISSN:2543-1463
2543-1471