PMC6671875_01
- 12-lead ECG before pleural space drainage, showing sinus rhythm, right axis deviation, small voltage of the R wave in V1- V3 and ST-segment elevation (> 3 mm).
autopsy-03-01063-g01.jpg
PMC6671875_01_autopsy-03-01063-g01.jpg
g01
The electrocardiographic tracing on the bedside monitor, acquired at the supine position, showed the presence of ST-segment elevation, confirmed with the 12-lead electrocardiogram, which was characterized by ST-segment elevation of 3 mm in D2, 6 mm in D3 and 5 mm in aVF, accompanied by right axis deviation (SAQRS= +100o) and small voltage of R wave in V1-V3 (Figure 1).
- 12-lead ECG after the pleural space drainage showing normalization of the ST-segment elevation.
autopsy-03-01063-g02.jpg
PMC6671875_01_autopsy-03-01063-g02.jpg
g02
- Posterior-to-anterior chest radiography showing air entrapment in the right hemithorax, with a chest tube inserted, mediastinal shift to the left, with no trachea deviation. Pneumopericardium (arrow) is represented by a thin air layer detaching the pericardium.
autopsy-03-01063-g03.jpg
PMC6671875_01_autopsy-03-01063-g03.jpg
g03
Chest radiography showed the presence of drained pneumothorax associated with pneumopericardium (Figure 3).