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. 1985 Jun;12(2):203–206.

Hemopericardium and Tamponade Following Intracoronary Thrombolysis with Streptokinase

William E Walker 1, Francisco Fuentes 1, Phillip R Adams 1, R Craig Kuykendall 1, John D McArthur 1, Anne P Weiland 1
PMCID: PMC341842  PMID: 15227033

Abstract

Two patients underwent surgery for hemopericardium and pericardial tamponade after intracoronary thrombolysis by streptokinase for acute myocardial infarction. In both instances, the artery had reopened, but left ventricular function had not improved. A subxiphoid pericardial window relieved the tamponade, and both patients made good recovery.

Hemopericardium is rare in myocardial infarction without cardiac rupture or anticoagulant therapy, and may constitute a specific complication of reperfusion with streptokinase. Pericardial window may be preferable to pericardiocentesis because of the possibility of cardiac rupture.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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