Managing Thrombosis and Hemorrhage in a Man with Myocardial Infarction and Traumatic Hemopericardium with Cardiac Tamponade

Tex Heart Inst J. 2021 Jul 1;48(3):e207308. doi: 10.14503/THIJ-20-7308.

Abstract

A 79-year-old man had an out-of-hospital acute ST-segment-elevation myocardial infarction with cardiac arrest. Cardiopulmonary resuscitation performed by a bystander resulted in traumatic hemopericardium. We discuss the patient's case, highlight the challenges of managing simultaneously life-threatening thrombosis and hemorrhage, and present our conclusions regarding the patient's eventual death.

Keywords: Cardiac tamponade/physiopathology; coronary thrombosis/complications; echocardiography; fatal outcome; heart injuries/etiology; heart rupture, post-infarction; myocardial infarction/complications; pericardial effusion/physiopathology; risk assessment/methods.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiac Tamponade / diagnosis
  • Cardiac Tamponade / etiology
  • Cardiac Tamponade / therapy*
  • Coronary Angiography
  • Echocardiography
  • Heart Diseases / diagnosis
  • Heart Diseases / etiology
  • Heart Diseases / therapy
  • Humans
  • Male
  • Pericardial Effusion / complications
  • Pericardial Effusion / diagnosis
  • Pericardial Effusion / therapy*
  • Pericardiocentesis / methods*
  • Pericardium
  • ST Elevation Myocardial Infarction / complications*
  • ST Elevation Myocardial Infarction / diagnosis
  • Thoracic Injuries / complications*
  • Thoracic Injuries / diagnosis
  • Thrombosis / etiology
  • Thrombosis / therapy*