title: Echocardiography and Cardiac Rupture: Is Contrast Extravasation an Indication for Surgery?
abstract: Contrast echocardiography demonstrating microbubbles in the pericardial space has often been cited as evidence of ventricular rupture requiring emergent surgical intervention. We report a case where no myocardial perforation was found during post-myocardial infarction surgery despite prior echocardiographic evidence of contrast extravasation into the pericardial effusion. Clinical decision making requires balancing imaging evidence with clinical circumstances to determine the optimal timing for surgical intervention.
authors: Department of Cardiology, Mount Sinai Beth Israel, New York, New York.
authors: Jonathan S
authors: JS
authors: Katz
authors: Department of Medicine, Mount Sinai Beth Israel, New York City, NY.
authors: Moshe
authors: http://orcid.org/0000-0001-8073-3973
authors: M
authors: Heching
authors: Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, New York.
authors: Darryl M
authors: DM
authors: Hoffman
authors: Department of Cardiology, Mount Sinai Beth Israel, New York, New York.
authors: Tatyana
authors: T
authors: Danilov
authors: Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, New York.
authors: Robert F
authors: RF
authors: Tranbaugh
mesh_terms: D000368:Aged; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging*; D006341:Heart Rupture / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D045423:Microbubbles; D014463:Ultrasonography
keywords: contrast; echocardiography; myocardial infarction; pericardium; rupture; surgery