Author/Authors :
Lapp, Hendrik Department of Cardiology - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany , Keßler, Marcel Department of Cardiology - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany , Rock, Thomas Department of Cardiology - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany , Schmid, Franz X. Department of Cardiothoracic Surgery - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany , Shin, Dong-In Department of Cardiology - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany , Bufe, Alexander Department of Cardiology - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany , Klues, Heinrich G. Department of Cardiology - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany , Blockhaus, Christian Department of Cardiology - Heart Centre Niederrhein - Helios Clinics Krefeld, Germany
Abstract :
An 87-year-old woman presenting with myocardial infarction and ST-segment elevation in the electrocardiogram suffered from
pericardial effusion due to left ventricular rupture. After ruling out obstructive coronary artery disease and aortic dissection, she
underwent cardiac surgery showing typical infarct-macerated myocardial tissue in situ. This case shows that even etiologically
unclear and small-sized myocardial infarctions can cause life-threatening mechanical complications.