Surgical treatment of intramyocardial dissecting hematoma-a case report and literature review.

ABSTRACT:

Background

Intramyocardial dissecting hematoma (IDH) is a rare but potentially life-threatening complication, most commonly linked to myocardial infarction (MI) but also described in other settings such as cardiac interventions or severe chest trauma. Owing to the limited data on its diagnosis, management, and outcomes, treatment strategies for IDH remain controversial.

Case presentation

We present a case of a 53-year-old female who was initially misdiagnosed with Takotsubo cardiomyopathy and later found to have an IDH complicated by anticoagulation dilemmas and infection. Despite initial conservative management, progressive dissection and elevation of inflammatory markers prompted surgical intervention. The patient underwent endoventricular patch repair (Dor procedure), wit

SUBMITTER: Mervic M 

PROVIDER: S-EPMC12702927 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature