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  • Title: [Images of magnetic resonance and computerized axial tomography in a case of subacute post-myocardial infarct heart rupture].
    Author: Virgós Lamela A, Pérez Alvarez L, Pedreira Pérez M, Santos Bouza A, López Ibor L, Gil de la Peña M.
    Journal: Rev Esp Cardiol; 1990 Apr; 43(4):262-5. PubMed ID: 2353126.
    Abstract:
    In a patient with clinical and hemodynamic criteria of cardiac tamponade, during the acute phase of myocardial infarction, a two dimensional echocardiographic study showed pericardial effusion with an echo-dense mass in the pericardial space. Subacute ventricular free-wall rupture diagnosis was suspected. A cardiac computerized tomography (CT) and magnetic resonance (MR) study was made. CT showed an elevated density (32 HU) of pericardial effusion suggesting hemopericardium. RM imaging showed a very high and homogeneous signal in the pericardial space consistent with a methemoglobin phase clot. Anatomic confirmation was not possible.
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