An 87-year-old woman was found deceased in her home by her brother, who came over once daily to check on her. Based on this image, she is most likely to have which of the following chronic comorbidities?
Hemopericardium is present in the question image, as evidenced by the discoloration and bulging of the pericardial sac. Hemopericardium can occur for numerous reasons, the most common of which are ruptured myocardial infarction (MI) and rupture of an ascending aortic aneurysm/dissection. Risk factors for myocardial rupture after MI include: older, female, systemic hypertension, first MI. Risk factors for ascending aortic aneurysm and dissection include bicuspid aortic valve, connective tissue disease, inflammatory aortopathy, smoking, systemic hypertension, and prior family history.
- Melanie Bois
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