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Survival in Infarct Related Intramyocardial Dissection Importance of Early Echocardiography and Prompt Surgery.
MedLine Citation:
PMID:  11174974     Owner:  NLM     Status:  Publisher    
Infarct related intramyocardial dissection, an unusual mechanical complication associated with recent inferior/inferoposterior myocardial infarction, is characterized by a septal defect and a dissection tract that originates on the left side of the interventricular septum, extends beyond the septum into the right ventricular free wall, and subsequently re-enters the right ventricle. The utility of echocardiography for diagnosis has been described. Despite aggressive therapy, the prognosis of intramyocardial dissection is reported to be dismal. We describe the use of prompt echocardiography in two patients, which established the diagnosis of infarct related intramyocardial dissection allowing early definitive surgery and long-term survival.
Dennis A. Tighe; James J. Paul; A.R. Maniet; Joseph E. Flack; John D. Mannion; Robert D. Rifkin; Joel S. Raichlen
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Publication Detail:
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  14     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  1997 Jul 
Date Detail:
Created Date:  2001-Feb-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  -    
Other Details:
Languages:  ENG     Pagination:  403-408     Citation Subset:  -    
Division of Cardiology, Baystate Medical Center, Wright 4, 759 Chestnut Street, Springfield, MA 01199.
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