A Rare Case of Intramyocardial Dissecting Hematoma following Acute Myocardial Infarction

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 wal...

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Detalles Bibliográficos
Autores principales: Sarkar, Shibsankar, Majumder, Biswajit, Ghosh, Ratul, Chakraborty, Sougat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529293/
https://www.ncbi.nlm.nih.gov/pubmed/37772052
http://dx.doi.org/10.4103/jcecho.jcecho_3_23
Descripción
Sumario: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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