Managing Ventricular Wall Rupture as a Complication of Late Presentation MI in a Complex Patient with Ankylosing Spondylitis

Figure 1

(a) 2D TTE colour Doppler (CFD) echocardiography parasternal short axis (PSAX) view showing LV rupture at the level of the inferior wall with communication between LV and pericardial space (white arrow); (b) 2D TTE apical 4 chamber (A4C) view at presentation showing global large pericardial effusion with clot; (c) coronary angiogram showing occluded dominant distal left circumflex artery (black arrow).

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