PMC3712242_01
(a) Before treatment: pericardial tamponade with hemodynamic relevance on right ventricle (see arrow). (b) After successful treatment: a stable minor pericardial effusion without hemodynamic relevance (see arrow). RA: right atrium; RV: right ventricle; LA: left atrium; LV: left ventricle.
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fig1
Echocardiography showed an acute pericardial tamponade suggesting a ventricular rupture (Figure 1(a)). Echocardiography showed a stable minor pericardial effusion of 100 mL without any signs of hemodynamic relevance (Figure 1(b)).
(a) Anterior view of the heart ex vivo: areas covered with fibrin glue resulting in a partial fibrinous pericarditis of the anterior wall (see arrow). (b) Factor VIII staining of fibrin clot: fibrin clot shows disseminated infiltration by lymphocytes and macrophages as commonly found in fibrinous pericarditis.
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fig2
Autopsy revealed a fibrin glue induced focal peri-epicardial adhesion and extensive anterior myocardial infarction with rupture near the apex covered by the fibrin glue (Figures 2(a) and 2(b)).