title: Intraoperative myocardial rupture heralded by contrast echocardiography.
abstract: This case report shows the use of bedside transthoracic contrast echocardiography in the diagnosis of subacute myocardial rupture after acute myocardial infarction and indication of urgent surgery. Usefulness of intraoperative transesophageal echocardiography for detection of sudden complete myocardial rupture leading to pericardial tamponade during anesthetic induction, and prompt lifesaving surgical procedure are also presented.
authors.affiliation: Servicio de Cardiología, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. danielsaura@secardiologia.es
authors.forename: Daniel
authors.initials: D
authors.lastname: Saura
authors.forename: Rafael
authors.initials: R
authors.lastname: Florenciano
authors.forename: Gonzalo
authors.initials: G
authors.lastname: de la Morena
authors.forename: Federico
authors.initials: F
authors.lastname: Soria
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Espinosa
authors.forename: José María
authors.initials: JM
authors.lastname: Arribas
authors.forename: Mariano
authors.initials: M
authors.lastname: Valdés-Chávarri
mesh_terms: D000368:Aged; D004452:Echocardiography; D006341:Heart Rupture / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery