FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 348:609 February 13, 2003 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

View larger version (84K): [in this window] [in a new window]   A 79-year-old man was admitted with atypical chest pain and electrocardiographic changes characteristic of an anterior myocardial infarction. The chest radiograph showed a widened mediastinum, raising the possibility of a thoracic aortic dissection. Therefore, before thrombolysis was instituted, dynamic computed tomography (CT) of the mediastinum was performed with the use of intravenous contrast material. During the procedure, the patient had an arrest due to electromechanical dissociation. The CT scan revealed cardiac tamponade with contrast in the pericardial cavity (thin arrows) and an area of myocardial rupture at the left ventricular apex (thick arrow). Needle pericardiocentesis did not improve the patient's . . . [Full Text of this Article]

 

Related Letters:

Cardiac Rupture
Wehrens X. H., Doevendans P. A.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:2264, May 29, 2003. Correspondence

This article has been cited by other articles:

• Dencker, M., Tasevska, G., Grubb, D., Stagmo, M., Gustafsson, R. (2008). Unexpected rupture of the left ventricular free wall in the echo-lab. Eur J Echocardiogr 9: 92-94 [Abstract] [Full Text]  
• Wehrens, X. H., Doevendans, P. A. (2003). Cardiac Rupture. NEJM 348: 2264-2264 [Full Text]