case_images: PMC10774542_01
case_images: Photographs showing the pericardial sac filled with blood surrounding the heart (A), the heart with a sharply circumscribed infarcted lesion measuring 7 x 6 cm around the apex involving anterior interventricular artery (B).
case_images: CCR3-12-e8439-g004.jpg
case_images: PMC10774542_01_CCR3-12-e8439-g004.jpg
case_images: ccr38439-fig-0001
case_images: When the pericardial cavity was open, there was a blood collection of 700 mLs mixed with clots compressing the heart (Figure 1A). In addition, a sharply circumscribed infarcted lesion measuring 7 x 6 cm that was hemorrhagic, soft, and fragile on the apex was seen (Figure 1B).
case_images: Photomicrographs showing necrotic left ventricle rupture (blue arrows) with entrapped blood in the pericardium (black arrows), H&E staining 2x original magnification (A), histopathology demonstrating a ruptured coronary artery (yellow) surrounded by a viable myocytes, H&E staining 10 x original magnification (B).
case_images: CCR3-12-e8439-g002.jpg
case_images: PMC10774542_01_CCR3-12-e8439-g002.jpg
case_images: ccr38439-fig-0002
case_images: Histopathology results from the ischemic lesion showed ischemic left ventricular wall rupture with contained blood in the pericardium (Figure 2A) and coronary artery (presumably left anterior descending) rupture (Figure 2B).
case_images: Histopathology of myocardium illustrating areas of acute myocardial infarction (black arrows), viable myocardium (blue arrow) and hemorrhage in the pericardium (green arrows) (A), myocardial rupture H&E staining 10x original magnification (B).
case_images: CCR3-12-e8439-g003.jpg
case_images: PMC10774542_01_CCR3-12-e8439-g003.jpg
case_images: ccr38439-fig-0003
case_images: The surrounding myocytes had necrosis and inflammatory cells (Figure 3A,B).