Myokardruptur bei kardialem Infarkt

Post-infarction

full-thickness myocardial rupture: a life-saving CT diagnosis. Coronal reconstructed image from preliminary unenhanced acquisition revealed hyperattenuating (55 Hounsfield units) pericardial effusion (+) consistent with hemopericardium.

Post-infarction

full-thickness myocardial rupture: a life-saving CT diagnosis. Arterial-phase enhanced acquisition with bolus tracking technique showed contrast medium (*) extravasation through a full-thickness breach (Arrow) of the lateral wall of the left ventricle. Note hemopericardium(+), intra-aortic balloon pump(arrowhead).

Post-infarction

full-thickness myocardial rupture: a life-saving CT diagnosis. Coronal (C), sagittal (D), oblique (E) and 3D volume-rendering reconstruction (F) confirmed contrast (*) extravasation through a full-thickness discontinuity (arrow) of the left ventricular myocardium consistent with complete myocardial rupture.Note hemopericardium (+).

Post-infarction

full-thickness myocardial rupture: a life-saving CT diagnosis. Coronal (C), sagittal (D), oblique (E) and 3D volume-rendering reconstruction (F) confirmed contrast (*) extravasation through a full-thickness discontinuity (arrow) of the left ventricular myocardium consistent with complete myocardial rupture.

Post-infarction

full-thickness myocardial rupture: a life-saving CT diagnosis. Coronal (C), sagittal (D), oblique (E) and 3D volume-rendering reconstruction (F) confirmed contrast (*) extravasation through a full-thickness discontinuity (arrow) of the left ventricular myocardium consistent with complete myocardial rupture.Note hemopericardium (+).

Post-infarction

full-thickness myocardial rupture: a life-saving CT diagnosis. Additional venous phase acquisition showed increased opacification of the pericardial effusion (*) by contrast extravasation through the full-thickness rupture of the left ventricular myocardium (Arrow). Note hemopericardium (+).

Sutureless

off-pump repair of post-infarction left ventricular free wall rupture. CT scan showing leakage of contrast from the left ventricle free wall rupture (arrow).