[Images of magnetic resonance and computerized axial tomography in a case of subacute post-myocardial infarct heart rupture].
In a patient with clinical and hemodynamic criteria of cardiac tamponade, during the acute phase of myocardial infarction, a two dimensional echocardiographic study showed pericardial effusion with an echo-dense mass in the pericardial space. Subacute ventricular free-wall rupture diagnosis was suspected. A cardiac computerized tomography (CT) and magnetic resonance (MR) study was made. CT showed an elevated density (32 HU) of pericardial effusion suggesting hemopericardium. RM imaging showed a very high and homogeneous signal in the pericardial space consistent with a methemoglobin phase clot. Anatomic confirmation was not possible.
Virgós Lamela
A
A
Servicio de Cardiología y Unidad Coronaria, Hospital General de Galicia, Santiago de Compostela.
Pérez Alvarez
L
L
Pedreira Pérez
M
M
Santos Bouza
A
A
López Ibor
L
L
Gil de la Peña
M
M
D000208:Acute Disease; D000368:Aged; D006341:Heart Rupture / Q000175:diagnosis*; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed
Imágenes de resonancia magnética y tomografía axial computadorizada en un caso de rotura cardíaca subaguda postinfarto de miocardio.