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A Rare Case of Intramyocardial Dissecting Hematoma following Acute Myocardial Infarction.

ABSTRACT: Intramyocardial dissecting hematoma (IDH) is a rare and very dangerous complication of myocardial infarction (MI) and percutaneous intervention. Hemorrhage inside the spiral fibers of the myocardium causes this type of dreaded complication. We have reported a case of IDH following acute anterior wall MI. The patient's electrocardiogram showed ST elevation in precordial leads. The serum troponin level was elevated. IDH should be considered a rare complication after acute MI. The patient may present with features of cardiogenic shock. A two-dimensional echocardiography may demonstrate this type of complication.

SUBMITTER: Sarkar S

PROVIDER: S-EPMC10529293 | biostudies-literature | 2023 Apr-Jun

REPOSITORIES: biostudies-literature

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A Rare Case of Intramyocardial Dissecting Hematoma following Acute Myocardial Infarction.

Sarkar Shibsankar S Majumder Biswajit B Ghosh Ratul R Chakraborty Sougat S

Journal of cardiovascular echography 20230401 2

Intramyocardial dissecting hematoma (IDH) is a rare and very dangerous complication of myocardial infarction (MI) and percutaneous intervention. Hemorrhage inside the spiral fibers of the myocardium causes this type of dreaded complication. We have reported a case of IDH following acute anterior wall MI. The patient's electrocardiogram showed ST elevation in precordial leads. The serum troponin level was elevated. IDH should be considered a rare complication after acute MI. The patient may prese ...[more]

PMID: 37772052

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Post myocardial infarction left ventricular intramyocardial dissecting hematoma penetrated right ventricular outflow tract: a rare complication report.

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