Key result
Intramyocardial dissecting hematoma complicates ~0.4% of STEMI cases and carries extremely high mortality.
Why the study?
Therapeutic management and timing for surgical approach in intramyocardial dissecting hematoma have not been standardized due to its rarity and high mortality.
Case Report (n=4)
No
Answers are grounded in this paper and cite their sources.
Intramyocardial dissecting hematoma is a form of cardiac rupture caused by myocardial infarction, percutaneous coronary intervention, or trauma. It is a cavity between myocardial fibers caused by partial rupture of the ventricular wall. Therapeutic management, including the timing for surgical approach, has not been standardized. We present a case series describing 4 patients. (Level of Difficulty: Intermediate.)
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Prat et al. (2022) conducted a case report in Intramyocardial dissecting hematoma (n=4). Intramyocardial dissecting hematoma was evaluated on Clinical outcome (mortality). Intramyocardial dissecting hematoma is a rare complication occurring in 0.37% of STEMI patients, associated with extremely high mortality, as all four cases resulted in death despite care.
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