title: Myocardial rupture with cardiac tamponade as a lethal early manifestation of acute myeloblastic leukemia.
abstract: A 73-year-old woman presented with a two-week history of increasing lassitude and fever. The hemoglobin level was 152 g/l and the total leucocyte count was 348 X 10(9)/l with 97% blasts. Before the diagnosis of acute leukemia could be confirmed by bone marrow examination, the patient developed shock and died within a few minutes. At autopsy a myocardial rupture of the left lateral wall apparently due to a massive leukemic infiltration was found.
mesh_terms: D000368:Aged; D001772:Blood Cell Count; D002305:Cardiac Tamponade / Q000209:etiology*; D005260:Female; D006341:Heart Rupture / Q000209:etiology* / Q000473:pathology; D006352:Heart Ventricles; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000401:mortality; D009206:Myocardium / Q000473:pathology
chemical_list: D006454:Hemoglobins