Left ventricular free wall rupture (LVFWR) is a rare, yet lethal, complication of acute myocardial infarction (AMI), occurring in approximately 2% of cases. In the era of percutaneous coronary intervention, however, it is less frequently encountered.We were confronted with a case of AMI complicated with LVFWR after receiving thrombolytic therapy. The diagnosis was established using transthoracic echocardiography (TTE). Unfortunately, the patient passed away before surgical intervention. This case demonstrates the importance of prompt diagnosis and management of such a lethal complication.
A 76-year-old male with a past history of resected cancer colon and a recurrence in the form of hepatic and lung metastases had a Chest X Ray (CXR) which revealed cardiomegaly and referred for echocardiography that revealed a large pericardial mass with pericardial effusion most likely metastatic in nature.
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