{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T14:21:46Z","timestamp":1791555706134,"version":"4.3.4"},"reference-count":25,"publisher":"Texas Heart Institute Journal","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>In the modern period of reperfusion, left ventricular free-wall rupture occurs in less than 1% of myocardial infarctions. Typically, acute left ventricular free-wall rupture leads to sudden death from immediate cardiac tamponade. We present the case of a 59-year-old woman who sustained a posterior-wall myocardial infarction and subsequent cardiac arrest with pulseless electrical activity. A bedside transthoracic echocardiogram showed pericardial effusion with cardiac tamponade. Emergency pericardiocentesis yielded 500 mL of blood, and spontaneous circulation returned. Contrast-enhanced echocardiograms revealed inferolateral akinesis and a new, small myocardial slit with systolic extrusion of contrast medium, consistent with left ventricular free-wall rupture. During immediate open-heart surgery, a small hole in an area of necrotic tissue was discovered and repaired. This case highlights the usefulness of bedside contrast-enhanced echocardiography in confirming acute left ventricular free-wall rupture and enabling rapid surgical treatment.<\/jats:p>","DOI":"10.14503\/thij-14-4447","type":"journal-article","created":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T20:24:07Z","timestamp":1443731047000},"page":"474-478","source":"Crossref","is-referenced-by-count":9,"title":["Prompt Recognition of Left Ventricular Free-Wall Rupture Aided by the Use of Contrast Echocardiography"],"prefix":"10.14503","volume":"42","author":[{"given":"Toshimasa","family":"Okabe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard M.","family":"Julien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antony G.","family":"Kaliyadan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Siu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregary D.","family":"Marhefka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"key":"i0730-2347-42-5-474-b1","series-title":"The works of William Harvey, M.D. Willis R, transl","year":"1847","unstructured":"Harvey\n              W.\n            \n          \n          The works of William Harvey, M.D. Willis R, transl. 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