Key result
Surgery rescues a patient with subacute ventricular free-wall rupture causing tamponade without frank hemopericardium.
Why the study?
Subacute ventricular free-wall rupture after myocardial infarction can present without frank hemopericardium, complicating prompt diagnosis and treatment.
Case Report (n=1)
The absence of frank hemopericardium on pericardiocentesis should not exclude the diagnosis of ventricular free-wall rupture.
Answers are grounded in this paper and cite their sources.
May prompt consideration of subacute rupture in tamponade without hemopericardium; case report leaves diagnostic implications open for validation.
Ventricular free-wall rupture is a well-known catastrophic complication of acute myocardial infarction. A significant number of patients present in a subacute fashion and can be successfully treated with surgery if diagnosed promptly. We present a case of subacute free-wall rupture that occurred after an undiagnosed myocardial infarction. The findings at pericardiocentesis were unusual in that the fluid was sanguinous but not frank hemopericardium. This patient represents the first known reported case to present without frank hemopericardium who survived and was successfully treated surgically. The absence of frank hemopericardium should not exclude the diagnosis of free-wall rupture.
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Tate et al. (1998) conducted a case report in Subacute ventricular free-wall rupture (n=1). Surgical treatment was evaluated on Survival and successful surgical treatment. A patient with subacute ventricular free-wall rupture presenting as tamponade without frank hemopericardium survived and was successfully treated surgically.
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