Left ventricular dissecting haematoma and aneurysm formation in a patient who uses methamphetamines: a case report.

ABSTRACT:

Introduction

Myocardial dissection is a rare complication of ischaemic heart disease. It occurs when a haematoma forms within the cardiac muscle, either due to an endocardial rupture or rupture of an intra-myocardial vessel. Higher ventricular wall tension and reduced myocardial tensile strength increase the risk of dissection. We describe a young male who developed a myocardial dissection following an ST elevation infarction. We explore the possible pathophysiological connection between myocardial dissection and his amphetamine use.

Case presentation

A 37-year-old Sri Lankan patient presented with progressively worsening heart failure for two weeks. One month before the presentation, he had developed an ischaemic chest pain, for which he had not sought medical advice. He wa

SUBMITTER: Ruwanpathirana P 

PROVIDER: S-EPMC11616136 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature