Fatal Left Ventricular Free Wall Rupture Complicating Acute Myopericarditis

Maria Toumpourleka, MD, MSc; Vasileios Siokas, MD; Christodoulos Papadopoulos, MD, PhD; Antigony Mitselou, MD, PhD; Leda Kovatsi, MD, PhD; Maria S. Sidiropoulou, MD; Konstantinos Triantafyllou, MD, MSc; Vassilios Vassilikos, MD, PhD

JACC: Case Reports (Feb 2024)

Fatal Left Ventricular Free Wall Rupture Complicating Acute Myopericarditis

Maria Toumpourleka, MD, MSc,
Vasileios Siokas, MD,
Christodoulos Papadopoulos, MD, PhD,
Antigony Mitselou, MD, PhD,
Leda Kovatsi, MD, PhD,
Maria S. Sidiropoulou, MD,
Konstantinos Triantafyllou, MD, MSc,
Vassilios Vassilikos, MD, PhD

Affiliations

Maria Toumpourleka, MD, MSc: Third Cardiology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece; Address for correspondence: Dr Maria Toumpourleka, Konstantinoupoleos 49, 54642, Thessaloniki, Greece.
Vasileios Siokas, MD: Laboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Christodoulos Papadopoulos, MD, PhD: Third Cardiology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece
Antigony Mitselou, MD, PhD: Department of Forensic Medicine and Toxicology, University of Ioannina, Ioannina, Greece
Leda Kovatsi, MD, PhD: Laboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Maria S. Sidiropoulou, MD: Department of Forensic Medicine and Toxicology, University of Ioannina, Ioannina, Greece; Department of Radiology, Hippokration Hospital, Thessaloniki, Greece
Konstantinos Triantafyllou, MD, MSc: Third Cardiology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece
Vassilios Vassilikos, MD, PhD: Third Cardiology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece

Journal volume & issue: Vol. 29, no. 3
p. 102178

Abstract

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This is a case of a 59-year-old man presenting with myopericarditis. Over a 2-week period, he developed progressive symptoms and worsening pericardial effusion, leading to cardiac tamponade. Pericardiocentesis revealed hemopericardium, and multidetector computed tomography angiography showed left ventricular free wall rupture. The patient collapsed abruptly, and autopsy confirmed the findings.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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