Ann Cardiovasc Surg | Volume 1, Issue 3 | Case Report | Open Access

A Sealed Myocardial Rupture Complicating Silent Myocardial Infarction

Zemer-Wassercug N, I Lev E and Rechavia E*

Department of Cardiology, Sackler School of Medicine, Tel Aviv University, Israel

*Correspondance to: Eldad Rechavia 

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A case is presented of a 78-years-old patient with known coronary artery disease who was admitted with intermittent vomiting and extreme weakness lasting for few hours and an ECG tracing of an inferior wall ST-segment elevation MI. An echocardiogram revealed an elongated thrombotic mass occupying the entire space between the two pericardial layers. His clinical hemodynamic status was rapidly improved with fluid resuscitation. The patient underwent an urgent coronary angiography and referred for surgery where the thrombotic pericardial content was removed and the rupture myocardial site was successfully sealed with a pericardial patch.


Coronary artery disease; Cardiac tamponade; Cardiogenic shock


Zemer-Wassercug N, I Lev E, Rechavia E. A Sealed Myocardial Rupture Complicating Silent Myocardial Infarction. Ann Cardiovasc Surg. 2018; 1(3): 1014.

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