Abstract
Hemorrhagic pericarditis and pericardial tamponade occurring in the setting of acute myocardial infarction (MI) are very uncommon. Even rare is its presentation as acute liver failure. We describe a patient who presented with acute liver failure postangioplasty and stenting of left anterior descending and right coronary artery in the setting of a large transmural anterior wall MI. Acute liver failure in this case was attributable to a hemorrhagic pericardial effusion and tamponade. It completely resolved following pericardiocentesis. This unusual presentation of an unusual complication and its management is discussed.
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