Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
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Case Report

Volume 3, Number 6, December 2012, pages 284-287

Adjuvant Role of CT in the Diagnosis of Post-Infarction Left Ventricular Free-Wall Rupture

Figures

Figure 1.
Figure 1. ECG on presentation showing subtle ST segment elevation (arrow) and a deep-Q wave in AVL, along with marked ST segment depression in inferior leads.
Figure 2.
Figure 2. Emergent bedside echocardiogram in the subcostal projection, showing the presence of a moderate pericardial effusion (E), along with clot (C) suggesting hemopericardium. RV: right ventricle; LV: left ventricle.
Figure 3.
Figure 3. Left: Early images with a CT scan displaying a small rupture (arrow) in the posterolateral wall of the left ventricle with the presence of a hemopericardium, confirming the diagnosis of free wall rupture. Right: Delayed CT images (60 seconds after initial images) showing a small, hypodense area of infarction (arrow) in the inferolateral wall, with greater degree of contrast extravasation relative to the early images, suggesting active bleeding into the pericardial sac.