Intramyocardial dissecting hematoma (IDH) is a rare and very dangerous complication of myocardial infarction (MI) and percutaneous intervention. Hemorrhage inside the spiral fibers of the myocardium causes this type of dreaded complication. We have reported a case of IDH following acute anterior wall MI. The patient's electrocardiogram showed ST elevation in precordial leads. The serum troponin level was elevated. IDH should be considered a rare complication after acute MI. The patient may present with features of cardiogenic shock. A two-dimensional echocardiography may demonstrate this type of complication.
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http://dx.doi.org/10.4103/jcecho.jcecho_3_23 | DOI Listing |
Kyobu Geka
October 2024
Department of Cardiovascular Surgery, Shiga University, Otsu, Japan.
An 86-year-old female was taken to hospital with complaints of general malaise and anorexia. Echocardiography showed an abnormal space between the ventricles, extending to the back of the left atrium, with a shunt from the left ventricle into both that abnormal space and the right ventricle. The next morning, the patient had a large amount of tarry stool and progressive anemia.
View Article and Find Full Text PDFBMC Cardiovasc Disord
December 2024
Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of Cardiovascular Surgery, Isesaki Municipal Hospital, Isesaki, Gunma, 372-0817, Japan.
Background: Left ventricular pseudo-false aneurysm is a rare complication of myocardial infarction and generally caused by an intramyocardial dissecting hematoma due to a fragile myocardium. The serpiginous dissecting case of ventricular septal perforation has an entry port in the left ventricle and exit port in the right ventricle, and the entry port must be closed to leave the dissected chamber on the low-pressure right side for treatment. Herein, we report a case of a large left ventricular pseudo-false aneurysm that was unaccompanied by a shunt after the surgical repair of a ventricular septal dissection.
View Article and Find Full Text PDFEur Heart J Case Rep
November 2024
Cardiology Unit, Morgagni-Pierantoni Hospital, via Forlanini 34, 47121 Forlì, Italy.
Background: Intramyocardial dissecting haematoma (IDH) is a rare life-threatening event usually complicating an acute myocardial infarction. Poor data exist about diagnosis, management, and outcome.
Case Summary: We reported a case of giant IDH managed conservatively, thanks to stable clinical status and haemodynamics, which evolved towards resorption.
J Cardiothorac Surg
October 2024
Department of Ultrasound, The First College of Clinical Medical Science, China Three Gorges University, 183 Yiling Road, Yichang, 443003, Hubei, China.
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