case_images: PMC7793765_01
case_images: Twelve-lead electrocardiogram findings on admission (red arrows: concave ST-segment elevation at the extensive inferior and lateral leads; green arrows: ratio of ST-segment elevation to T wave >0.24 in lead V6).
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case_images: PMC7793765_01_fcvm-07-609691-g0001.jpg
case_images: F1
case_images: Twelve-lead electrocardiogram (ECG) findings included ST-segment elevation at the inferior and lateral leads (I, II, III, AVF, and V2 to V6) (Figure 1).
case_images: Emergency coronary angiography demonstrated normal patent left and right coronary arteries.
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case_images: PMC7793765_01_fcvm-07-609691-g0002.jpg
case_images: F2
case_images: The patient was immediately transferred for emergency coronary angiography (CAG), which demonstrated normal patent left and right coronary arteries (Figure 2).
case_images: Bedside transthoracic echocardiography revealed massive pericardial effusion (red arrows: pericardial fluid sonolucent area).
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case_images: PMC7793765_01_fcvm-07-609691-g0003.jpg
case_images: F3
case_images: Next, a bedside transthoracic echocardiography (TTE) was performed and revealed a massive pericardial effusion (Figure 3).
case_images: Computed tomography demonstrated enlarged heart with pneumopericardium and effusions in mediastinum and pericardium (green arrow: pneumopericardium; red arrow: effusions).
case_images: fcvm-07-609691-g0004.jpg
case_images: PMC7793765_01_fcvm-07-609691-g0004.jpg
case_images: F4
case_images: Moreover, computed tomography (CT) further demonstrated the presence of pneumopericardium, effusions in mediastinum and pericardium (Figure 4).
case_images: The detailed timeline of this patient from the symptoms onset to discharge and death.
case_images: fcvm-07-609691-g0005.jpg
case_images: PMC7793765_01_fcvm-07-609691-g0005.jpg
case_images: F5
case_images: We posted the detailed timeline of this patient from the symptoms onset to discharge and death (Figure 5).