Document Detail

Intramyocardial dissecting haematoma: a rare complication of acute myocardial infarction.
MedLine Citation:
PMID:  19339261     Owner:  NLM     Status:  MEDLINE    
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.
Vasco Dias; Sofia Cabral; Catarina Gomes; Nuno Antunes; Cristiana Sousa; Miguel Vieira; Ana Meireles; Filomena Oliveira; Severo Torres
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-31
Journal Detail:
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:
Created Date:  2009-06-01     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  585-7     Citation Subset:  IM    
Cardiology Department, Santo António General Hospital, Oporto Hospital Center, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal.
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MeSH Terms
Diagnosis, Differential
Echocardiography / methods
Fatal Outcome
Heart Diseases / etiology,  ultrasonography*
Hematoma / etiology,  ultrasonography*
Myocardial Infarction / complications*
Sensitivity and Specificity
Stroke / etiology

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