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Pericarditis and hemopericardium
causing cardiac tamponade, caused by large and transmural ventricular
infarction with subsequent rupture into the pericardium, is a rare complication
post acute myocardial infarction. This is frequently fatal with rapid clinical
course. We reported a 65-year-old female who presented with persistent diaphoresis
and dyspnea for several hours followed by syncope. Acute myocardial infarction was
diagnosed with primary percutaneous coronary intervention performed though persistent
hypotension was observed. Moderate amount
of hemopericardium leading to tamponade was found. It was relieved after pericardiocentesis.
Real-time three-dimensional echocardiography revealed blood clot with specific
whirling pattern around the infracted ventricular wall with suspected leak.