[Tamponade without cardiac rupture after repetitive thrombolysis in acute myocardial infarction].
The authors report the case of tamponade without cardiac rupture 48 hours after a second course of intravenous thrombolytic therapy undertaken for unstable angina in laterobasal infarction in a 72 year old woman. The outcome after ultrasonic guided pericardiocentesis and surgical drainage (700 cc) was favourable. This is a rare complication of thrombolytic therapy (10 cases) and usually observed after anterior myocardial infarction.
Georges
J L
JL
Clinique cardiologique, hôpital Necker, Paris.
Tabone
X
X
Metzger
J P
JP
Tamisier
D
D
Baubion
N
N
Vacheron
A
A
D000368:Aged; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy*; D010490:Pericardial Effusion / Q000150:complications*; D012008:Recurrence; D013300:Streptokinase / Q000627:therapeutic use; D015912:Thrombolytic Therapy / Q000009:adverse effects*
D013300:Streptokinase
Tamponnade sans rupture cardiaque après thrombolyse itérative dans l'infarctus aigu du myocarde.