Hemopericardium on Autopsy Autopsy result of hemorrhagic pericardial effusion and cardiac tamponade. The myocardial wall is injured causing blood to leak into the pericardial space and literally smother the heart. This is exactly how Hemorrhagic Tamponade kills! Sam Ghali, M.D. @EM_RESUS #Hemopericardium #Autopsy #gross #pathology #tamponade #pericardial #effusion #CTS #thoracic #cardiology #clinical #video