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3. Myocardial Rupture

Myocardial ruptures damage the vessels of the heart or of the smaller muscles within the heart. In the case of heart attacks, they occur a few days after the initial infarction. Aortic dissection from an aneurysm is another cause; in such cases, sudden injury to the aorta causes blood to rapidly accumulate in the pericardial sac.

Myocardial rupture aneurysm aortic dissection EmirMemedovski / Getty Images
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