Localized pericarditis leading to clinical tamponade with profound shock status and syncope as a major clinical manifestation after posterior wall myocardial infarction—Characterization and descriptive findings by real-time 3-dimensional echocardiography

• 作者: Charles Jia-Yin Hou Chi-In Lo Chung-Lieh Hung Hung-I Yeh Po-Ching Chi
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: PERICARDITIS HEMOPERICARDIUM TAMPONADE Myocardial Infarction SYNCOPE
• 年，卷（期）: 2013,（4）
• 页码范围: 263-266
• 页数: 4页
• 分类号: R5

摘要

Pericarditis and hemopericardium causing cardiac tamponade, caused by large and transmural ventricular infarction with subsequent rupture into the pericardium, is a rare complication post acute myocardial infarction. This is frequently fatal with rapid clinical course. We reported a 65-year-old female who presented with persistent diaphoresis and dyspnea for several hours followed by syncope. Acute myocardial infarction was diagnosed with primary percutaneous coronary intervention performed though persistent hypotension was observed. Moderate amount of hemopericardium leading to tamponade was found. It was relieved after pericardiocentesis. Real-time three-dimensional echocardiography revealed blood clot with specific whirling pattern around the infracted ventricular wall with suspected leak.