Cardiovasc Imaging Asia.  2018 Jan;2(1):34-36. 10.22468/cvia.2017.00129.

Post-Infarct Cardiac Free Wall Rupture Detected by Multi-Detector Computed Tomography

Affiliations
  • 1Consultant Cardiologist, Director of Cardiac Imaging, Care Hospitals, Telangana, India
  • 2Department of Radiology, Care Hospitals, Telangana, India

Abstract

A 48-year-old female with chest pain was diagnosed with an inferoposterior wall myocardial infarction. A moderate pericardial effusion was revealed on two-dimensional echocardiography. Post-thrombolysis, the patient experienced persistent chest pain. In view of the possibility of a sealed myocardial rupture, the patient underwent coronary CT angiography (CTA). The rupture was confirmed via CTA, and the coronary anatomy was delineated. The patient underwent pericardial patch repair with good results.

Keyword

Cardiac free wall rupture; Myocardial infarction; CT angiography; Pericardial effusion; Pseudoaneurysm
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