Fatal Left Ventricular Free Wall Rupture Complicating Acute Myopericarditis

Maria Toumpourleka; Vasileios Siokas; Christodoulos Papadopoulos; Antigony Mitselou; Leda Kovatsi; Maria S Sidiropoulou; Konstantinos Triantafyllou; Vassilios Vassilikos

doi:10.1016/j.jaccas.2023.102178

Fatal Left Ventricular Free Wall Rupture Complicating Acute Myopericarditis

JACC Case Rep. 2023 Dec 27;29(3):102178. doi: 10.1016/j.jaccas.2023.102178. eCollection 2024 Feb 7.

Authors

Maria Toumpourleka¹, Vasileios Siokas², Christodoulos Papadopoulos¹, Antigony Mitselou³, Leda Kovatsi², Maria S Sidiropoulou^{3

4}, Konstantinos Triantafyllou¹, Vassilios Vassilikos¹

Affiliations

¹ Third Cardiology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
² Laboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
³ Department of Forensic Medicine and Toxicology, University of Ioannina, Ioannina, Greece.
⁴ Department of Radiology, Hippokration Hospital, Thessaloniki, Greece.

Abstract

This is a case of a 59-year-old man presenting with myopericarditis. Over a 2-week period, he developed progressive symptoms and worsening pericardial effusion, leading to cardiac tamponade. Pericardiocentesis revealed hemopericardium, and multidetector computed tomography angiography showed left ventricular free wall rupture. The patient collapsed abruptly, and autopsy confirmed the findings.

Keywords: hemopericardium; left ventricular wall rupture; multidetector computed tomography; myopericarditis; pericardial effusion; tamponade.

Publication types

Case Reports