Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Conservatively treated intramyocardial dissecting haematoma of the interventricular septum as a rare complication of acute myocardial infarction: a case report

Conservatively treated intramyocardial dissecting haematoma of the interventricular septum as a... BackgroundIntramyocardial dissecting haematoma (IDH) is a rare and potentially life-threatening complication of acute coronary syndrome. So far only isolated case reports and case series have been published.Case summaryWe report the case of a late presenting myocardial infarction (MI) complicated by IDH of the ventricular septum, following a successful percutaneous coronary intervention (PCI). The clinically inapparent septal mass was discovered during the routine transthoracic echocardiography and the final diagnosis of haematoma was made by magnetic resonance imaging. The patient remained clinically stable, and septal mass on repeated echocardiography showed gradual regression.DiscussionThis report suggests that IDH can spontaneously resolve without surgical intervention. An urgent echocardiogram should be used to assess the vitality of the myocardial tissue, especially with late presenting MI with deep Q-waves on the electrocardiogram strip. Conservative treatment in haemodynamically stable patients with IDH following MI and PCI is a feasible solution. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Heart Journal - Case Reports Oxford University Press

Conservatively treated intramyocardial dissecting haematoma of the interventricular septum as a rare complication of acute myocardial infarction: a case report

Download PDF
8 pages

Loading next page...
 
/lp/oxford-university-press/conservatively-treated-intramyocardial-dissecting-haematoma-of-the-w3xS8QI7bX
Publisher
Oxford University Press
Copyright
© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.
eISSN
2514-2119
DOI
10.1093/ehjcr/ytac295
Publisher site
See Article on Publisher Site

Abstract

BackgroundIntramyocardial dissecting haematoma (IDH) is a rare and potentially life-threatening complication of acute coronary syndrome. So far only isolated case reports and case series have been published.Case summaryWe report the case of a late presenting myocardial infarction (MI) complicated by IDH of the ventricular septum, following a successful percutaneous coronary intervention (PCI). The clinically inapparent septal mass was discovered during the routine transthoracic echocardiography and the final diagnosis of haematoma was made by magnetic resonance imaging. The patient remained clinically stable, and septal mass on repeated echocardiography showed gradual regression.DiscussionThis report suggests that IDH can spontaneously resolve without surgical intervention. An urgent echocardiogram should be used to assess the vitality of the myocardial tissue, especially with late presenting MI with deep Q-waves on the electrocardiogram strip. Conservative treatment in haemodynamically stable patients with IDH following MI and PCI is a feasible solution.

Journal

European Heart Journal - Case Reports – Oxford University Press

Published: Jul 23, 2022

Keywords: Case report; Intramyocardial dissecting haematoma; Myocardial infarction; Cardiac imaging

References

  • Progressive intramyocardial dissecting hematoma in the apex of the left ventricle after percutaneous coronary intervention
    Wei, Y; Zhang, B
  • Intramyocardial dissecting hematoma after acute myocardial infarction-echocardiographic features and clinical outcome
    Zhao, Y; He, YH; Liu, WX; Sun, L; Han, JC; Man, TT; Gu, XY; Chen, Z; Wen, ZY; Henein, MY
  • Intramyocardial dissecting haematoma mimicking left ventricular clot, a rare complication of myocardial infarction: a case report
    Lee, TJ; Roslan, A; Teh, KC; Ghazi, A
  • Intramyocardial dissecting hematoma and postinfarction cardiac rupture
    Vargas-Barrón, J; Roldán, FJ; Romero-Cárdenas, Á; Vázquez-Antona, CA
  • Two rare complications of myocardial infarction: a case report
    Mahmoud, O; Mehra, V
  • Pathophysiology and diagnosis of coronary microvascular dysfunction in ST-elevation myocardial infarction
    Konijnenberg, LSF; Damman, P; Duncker, DJ; Kloner, RA; Nijveldt, R; van Geuns, RM; Berry, C; Riksen, NP; Escaned, J; van Royen, N
  • Intramyocardial dissecting hematoma in anterior wall ST elevation myocardial infarction: impact on left ventricular remodeling and prognosis
    Spinelli, L; Stabile, E; Giugliano, G; Morisco, C; Giudice, CA; Imbriaco, M; Santoro, M; Esposito, G; Trimarco, B
  • Dissecting intramyocardial hematoma: clinical presentation, pathophysiology, outcomes and delineation by echocardiography
    Vargas-Barrón, J; Roldán, FJ; Romero-Cárdenas, A; Molina-Carrión, M; Vázquez-Antona, CA; Zabalgoitia, M; Martínez Rios, MA; Pérez, JE
  • Assessment of cardiac masses by cardiac magnetic resonance imaging: histological correlation and clinical outcomes
    Mousavi, N; Cheezum, MK; Aghayev, A; Padera, R; Vita, T; Steigner, M; Hulten, E; Bittencourt, MS; Dorbala, S; Di Carli, MF; Kwong, RY; Dunne, R; Blankstein, R
  • Cardiovascular magnetic resonance and echocardiographic findings of a large thrombosed intramyocardial dissecting hematoma: a case report and a brief review of literature
    Sakrana, AA; Alzubaidi, SAA; Shahat, AM; Mahmoud, AS; Naeim, HA
  • Intramyocardial haemorrhage after acute myocardial infarction
    Betgem, RP; de Waard, GA; Nijveldt, R; Beek, AM; Escaned, J; van Royen, N
  • Intramyocardial dissecting hematoma: two case reports and a meta-analysis of the literature
    Leitman, M; Tyomkin, V; Sternik, L; Copel, L; Goitein, O; Vered, Z
  • Early spontaneous remission of intramyocardial dissecting hematoma
    Miura, A; Uemura, Y; Takemoto, K; Uchikawa, T; Koyasu, M; Ishikawa, S; Mitsuda, T; Imai, R; Iwamiya, S; Ozaki, Y; Watanabe, T; Watarai, M; Ishii, H; Murohara, T
  • Immediate vs delayed stenting in ST-elevation myocardial infarction: rationale and design of the international PRIMACY Bayesian randomized controlled trial
    Jolicoeur, EM; Dendukuri, N; Belisle, P; Range, G; Souteyrand, G; Bouisset, F; Bouisset, F; Zemour, G; Delarche, N; Harbaoui, B; Schampaert, E; Kouz, S; Cayla, G; Roubille, F; Boueri, Z; Mansour, S; Marcaggi, X; Tardif, JC; McGillion, M; Tanguay, JF; Brophy, J; Yu, CW; Berry, C; Carrick, D; Høfsten, DE; Engstrøm, T; Kober, L; Kelbæk, H; Belle, L
  • Cardioprotective effect of novel matrix metalloproteinase inhibitors
    Gömöri, K; Szabados, T; Kenyeres, É; Pipis, J; Földesi, I; Siska, A; Dormán, G; Ferdinandy, P; Görbe, A; Bencsik, P