Fig. 3

Intraoperative findings. (a) A large aneurysmal formation on the anterior LV wall, slightly attached to the pericardium is noted. (b) After dissecting the pericardium, a 5-mm, slit-like LV rupture site is found in the aneurysm, which caused cardiac tamponade. (c) The anterior myocardium of the aneurysm containing intramyocardial heavy and flesh hematoma