PMC7396043_01
CT scan showed the presence of global pericardial effusion.
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The CT scan showed no evidence of aortic dissection; however, there was a presence of hemopericardium (Figure 1).
Presence of ulcerated plaque at the proximal right coronary artery with total occlusion of the posterior descending artery and posterolateral branch artery.
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We decided to proceed with a primary percutaneous coronary angiogram (Figure 2).
A guidewire was being inserted into the pericardium.
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We decided to abundant the angioplasty procedure and proceeded with emergency pericardial tapping (Figure 3). 350 ml of blood was drained from the pericardium.