Project description:Intramyocardial dissecting hematoma is a rare but potentially fatal complication of myocardial infarction. The decision to adopt a surgical or conservative strategy may depend on the clinical and hemodynamic stability of patients. Regardless, the precise and temporal assessment of the structure of hematoma is imperative. We herein report the first case of a patient with early spontaneous remission of intramyocardial dissecting hematoma successfully managed by a conservative approach with multimodality imaging.

| S-EPMC5478569 | biostudies-literature

An Unusual Case of Intramyocardial Dissecting Hematoma.

Project description: Not available

| S-EPMC8883066 | biostudies-literature

Intramyocardial Dissecting Hematoma: A Mechanical Complication Needing Surgical Therapy?

Project description:Intramyocardial dissecting hematoma is a form of cardiac rupture caused by myocardial infarction, percutaneous coronary intervention, or trauma. It is a cavity between myocardial fibers caused by partial rupture of the ventricular wall. Therapeutic management, including the timing for surgical approach, has not been standardized. We present a case series describing 4 patients. (Level of Difficulty: Intermediate.).

| S-EPMC9664011 | biostudies-literature

Left Ventricular Intramyocardial Dissecting Hematoma With Late Ventricular Tachycardia Storm.

Project description:This case describes an uncommon discovery of a left ventricular intramyocardial dissecting hematoma in a patient experiencing a ventricular tachycardia storm. Imaging modalities, including 2-dimensional and 3-dimensional echocardiography and cardiac magnetic resonance, assisted in diagnosing the intramyocardial dissecting hematoma. The patient underwent conservative treatment and received a single-chamber implantable cardioverter defibrillator.

| S-EPMC11442180 | biostudies-literature

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

Project description: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.

| S-EPMC9332897 | biostudies-literature

Intramyocardial hematoma from blunt trauma mimicking apical hypertrophic cardiomyopathy.

Project description: Not available

| S-EPMC3461656 | biostudies-literature

A Rare Case of Intramyocardial Dissecting Hematoma following Acute Myocardial Infarction

Project description: Not available

| S-EPMC10529293 | biostudies-literature

An unusual complication due to a standard coronary angioplasty procedure: Intramyocardial dissecting hematoma.

Project description: Not available

| S-EPMC8210937 | biostudies-literature

Getting over a Broken Heart: Intramyocardial Dissecting Hematoma as Late Presentation of Myocardial Infarction.

Project description: Not available