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January 4, 2013European Heart Journal

Intramyocardial dissecting haematoma of the left ventricle apex after an anterior myocardial infarction

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Key result

A 75-year-old man developed a fatal intramyocardial dissecting haematoma of the left ventricle apex two weeks after an anterior myocardial infarction treated with fibrinolysis.

Population

75-year-old man admitted with cardiogenic shock, with a history of anterior ST elevation myocardial…

Design

Case_report

Follow-up

1 day

Authors

SMSimon MéjeanUniversité Fédérale de Toulouse Midi-PyrénéesOLOlivier LairezCardiac ImagingNBNicolas BoudouClinique du Sport

Discussion

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Implication

Alerts clinicians to rare fatal post-MI hematoma; case reports leave open incidence, risk factors, and prevention.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 75-year-old man who developed an intramyocardial dissecting haematoma of the left ventricle apex and cardiogenic shock 2 weeks after an anterior myocardial infarction.
E
Exposure
Multimodality imaging including transthoracic echocardiography, contrast-enhanced ultrasonography, and gadolinium-enhanced magnetic resonance imaging.
O
Outcome
Diagnosis of intramyocardial dissecting haematoma.

Highlights the role of multimodality imaging in diagnosing a rare and fatal complication of myocardial infarction, intramyocardial dissecting haematoma.

Cite This Study

Méjean et al. (2013) conducted a case report in Intramyocardial dissecting haematoma after anterior myocardial infarction (n=1). A 75-year-old man developed a fatal intramyocardial dissecting haematoma of the left ventricle apex two weeks after an anterior myocardial infarction treated with fibrinolysis.

synapsesocial.com/papers/6a9030e7c63bb9fb07dd7b4ahttps://doi.org/10.1093/eurheartj/ehs448

Topics

Atrial fibrillationPersistent AF managementEchocardiographyCardiomyopathyCardiac amyloidosis
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