COM'on Case 18

A 63 year old man with CAD and prior MI, DCM, placement of a pacemaker/AICD and an ejection fraction of 15-20% presented to the hospital with weakness and dyspnea on exertion. He was found to be have a large pericardial effusion and cardiac tamponade physiology. An attempt was made to correct this problem but a complication arose and shortly afterwards the patient became unresponsive and died despite resucitiative efforts. What does the autopsy suggest happened?

Thank you Dr. Kevin Waters for supplying this month's case.

Images of the case are seen here.

 

Congratulations to Luiz A. Benvenuti who correctly solved this case and won a $10USD Amazon gift certificate.

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