Intramyocardial Dissecting Hematoma
Mauro Rossi Prat, Maximiliano De Abreu, Graciela Reyes, Juan Wolcan, Julieta Ximena Saenz, Diego Kyle, Laura Antonietti, Javier Mariani, Carlos Tajer
Abstract
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.)
Topics & Concepts
HematomaMyocardial infarctionMedicineCardiologyPercutaneous coronary interventionInternal medicineSurgeryCardiac Structural Anomalies and RepairCardiac Arrest and ResuscitationMechanical Circulatory Support Devices