Document Detail

Intramyocardial dissecting hematoma: an unusual form of subacute cardiac rupture.
MedLine Citation:
PMID:  8286867     Owner:  NLM     Status:  MEDLINE    
Intramyocardial dissecting hematoma following myocardial infarction is an unusual form of subacute cardiac rupture that tends to develop along naturally occurring dissection planes between the spiral muscles of the ventricle. The diagnosis has commonly been made at surgery, postmortem examination, or by echocardiography. Most are associated with acute transmural inferior infarction. Few patients survive without surgical intervention. Fourteen cases have appeared in the literature. One additional case is described. Ten cases were treated medically with one survivor (10%). Five cases were treated surgically with five survivors. Surgical treatment of intramyocardial dissecting hematoma is preferable to medical treatment. Proper and timely diagnosis and prompt surgical treatment are necessary before complete myocardial rupture ensues. Diagnosis is facilitated through the use of two-dimensional echocardiography. Successful surgical management of this condition requires an appreciation of commonly associated pathoanatomical conditions, and the utilization of appropriate methods of repair in the presence of potential ventricular septal and ventricular free wall rupture.
M B Pliam; J J Sternlieb
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  8     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-02-22     Completed Date:  1994-02-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  628-37     Citation Subset:  IM    
Department of Cardiovascular and Thoracic Surgery, Eisenhower Medical Center, Rancho Mirage, California.
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MeSH Terms
Heart Rupture, Post-Infarction / diagnosis,  mortality,  surgery*
Heart Ventricles / surgery*
Hematoma / diagnosis,  mortality,  surgery*
Middle Aged

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