Spontaneous rupture of the heart from myocardial abscess is a rare occurren
ce. Most cases of spontaneous cardiac rupture are due to myocardial infarct
ion. We present a case of a contained rupture of the heart in a patient wit
h staphylococcal septicemia. Although cultures from the pericardial space w
ere negative the macroscopic and clinical picture was compatible with an ab
scess. (C) 2001 by The Society of Thoracic Surgeons.