Intraoperative myocardial rupture heralded by contrast echocardiography.
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.
Saura
Daniel
D
Servicio de Cardiología, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. danielsaura@secardiologia.es
Florenciano
Rafael
R
de la Morena
Gonzalo
G
Soria
Federico
F
Espinosa
María Dolores
MD
Arribas
José María
JM
Valdés-Chávarri
Mariano
M
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