Cardiac Tamponade in a Patient With Myocardial Infarction and COVID-19: Electron Microscopy

Edgar García-Cruz; Daniel Manzur-Sandoval; Emmanuel Adrián Lazcano-Díaz; Elizabeth Soria-Castro; Silvia Jiménez-Becerra

doi:10.1016/j.jaccas.2020.07.042

Cardiac Tamponade in a Patient With Myocardial Infarction and COVID-19: Electron Microscopy

JACC Case Rep. 2020 Oct;2(12):2021-2023. doi: 10.1016/j.jaccas.2020.07.042. Epub 2020 Aug 4.

Authors

Edgar García-Cruz¹, Daniel Manzur-Sandoval¹, Emmanuel Adrián Lazcano-Díaz², Elizabeth Soria-Castro³, Silvia Jiménez-Becerra⁴

Affiliations

¹ Cardiovascular Critical Care Unit, Ignacio Chávez National Institute of Cardiology, Mexico City, Mexico.
² Coronary Care Unit, Ignacio Chávez National Institute of Cardiology, Mexico City, Mexico.
³ Cardiovascular Biomedicine Department, Ignacio Chávez National Institute of Cardiology, Mexico City, Mexico.
⁴ Pathology Department, Ignacio Chávez National Institute of Cardiology, Mexico City, Mexico.

Abstract

We present the case of a patient with myocardial infarction and COVID-19 disease who developed hemorrhagic pericardial effusion and cardiac tamponade. The differential diagnosis included post-infarction pericarditis and mechanical complications, thrombolysis, Dressler syndrome, and viral pericarditis. The histopathologic examination of the pericardial tissue sample and electron microscopic examination established the diagnosis. (Level of Difficulty: Advanced.).

Keywords: COVID-19, coronavirus disease-2019; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; TTE, transthoracic echocardiogram; coronavirus; myocardial infarction; tamponade.