| Intramyocardial dissecting haematoma: a rare complication of acute myocardial infarction. | |
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MedLine Citation:
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PMID: 19339261 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Intramyocardial dissecting haematoma (IDH) is a rare complication of myocardial infarction, with very scarce reports in medical literature. Before the advent of non-invasive imaging techniques, the diagnosis of IDH was only made by necropsy. It can develop in the left ventricular free wall, the right ventricle, or the interventricular septum. We present a case of a patient with an IDH after acute anterolateral myocardial infarction, focusing on the utility of echocardiography in the diagnosis and follow-up of this unusual complication. By this imaging modality, it was possible to see the various acoustic densities of the progressive clotting of the intramyocardial haematoma, its extension through the haemorrhagic dissection, as well as its independency in relation to ventricular cavities and extracardiac space by confirming intact epicardial and endocardial layers. Based on this report, we believe that serial two-dimensional echocardiography, added, when necessary, by the use of contrast agents is the non-invasive method ideally suited to confirm the diagnosis and monitor its evolution at the patient's bedside. |
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Authors:
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Vasco Dias; Sofia Cabral; Catarina Gomes; Nuno Antunes; Cristiana Sousa; Miguel Vieira; Ana Meireles; Filomena Oliveira; Severo Torres |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-03-31 |
Journal Detail:
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Title: European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology Volume: 10 ISSN: 1532-2114 ISO Abbreviation: Eur J Echocardiogr Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-06-01 Completed Date: 2009-07-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100890618 Medline TA: Eur J Echocardiogr Country: England |
Other Details:
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Languages: eng Pagination: 585-7 Citation Subset: IM |
Affiliation:
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Cardiology Department, Santo António General Hospital, Oporto Hospital Center, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal. vascoalvesdias@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Diagnosis, Differential Echocardiography / methods Electrocardiography Fatal Outcome Heart Diseases / etiology, ultrasonography* Hematoma / etiology, ultrasonography* Humans Male Myocardial Infarction / complications* Sensitivity and Specificity Stroke / etiology |
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