Document Detail


Spontaneous remission of ruptured intramyocardial hematoma detected upon serial multidetector computed tomography.
MedLine Citation:
PMID:  20548821     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intramyocardial hematoma is a rare sequela of percutaneous coronary intervention after acute myocardial infarction. Clinical outcomes of intramyocardial hematoma vary from asymptomatic remission to cardiac death. Close follow-up is imperative. Herein, we report the case of a 69-year-old man who had sustained an acute inferior myocardial infarction. During primary percutaneous coronary intervention to the occluded right coronary artery, an intramyocardial hematoma developed and immediately ruptured into the right ventricle. Because the patient remained hemodynamically stable, a conservative approach was taken. Follow-up with serial multidetector computed tomographic imaging elucidated the course and extent of the hematoma and clearly revealed the healing process. After 1 year, this method of imaging showed complete remission of the hematoma. To the best of our knowledge, this is the 1st use of serial multidetector computed tomography to document the remission of an intramyocardial hematoma that ruptured after complicated percutaneous coronary intervention. We believe that multidetector computed tomography is useful in tracing the natural history of intramyocardial hematomas.
Authors:
Yu-Cheng Hsieh; I-Chen Tsai; Chen-Rong Tsao; Tung-Chao Lin; Chih-Tai Ting; Tsu-Juey Wu
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  37     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-15     Completed Date:  2010-09-27     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  350-3     Citation Subset:  IM    
Affiliation:
Cardiovascular Center, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Balloon, Coronary* / adverse effects
Coronary Angiography
Electrocardiography
Heart Rupture, Post-Infarction / etiology,  physiopathology,  radiography*
Hematoma / etiology,  physiopathology,  radiography*
Hemodynamics
Humans
Inferior Wall Myocardial Infarction / complications,  physiopathology,  radiography,  therapy*
Male
Radiography, Interventional
Remission, Spontaneous
Time Factors
Tomography, X-Ray Computed*
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