ArticleBMC cardiovascular disorders2022
Post myocardial infarction left ventricular intramural dissecting hematoma: a case report describing a very rare complication.
Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Intramyocardial Dissecting Hematoma After Myocardial Infarction Diagnosed by Multimodality Imaging.JACC. Case reports · 2026Article
- "False" False Tendon: Fatal Intramyocardial Dissecting Hematoma.Journal of medical cases · 2025Article
- Surgical treatment of intramyocardial dissecting hematoma-a case report and literature review.Frontiers in cardiovascular medicine · 2025Article
- Post myocardial infarction left ventricular intramyocardial dissecting hematoma penetrated right ventricular outflow tract: a rare complication report.Journal of cardiothoracic surgery · 2024Article
- Left Ventricular Intramyocardial Dissecting Hematoma With Late Ventricular Tachycardia Storm.JACC. Case reports · 2024Article
- Aortic Aneurysm Mimicking Inferior ST-Elevation Myocardial Infarction: A Case Report.Journal of investigative medicine high impact case reportsArticle
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDissecting intramural hematoma is a rare complication of acute myocardial infarction (AMI) and has been associated with increased mortality. There has been paucity of literature to establish protocols and guidelines for management in such cases. CASE PRESENTATION: We hereby report the case of a 45-year-old male patient with left ventricular intramural dissecting hematoma (LV-IDH) who presented with chest pain and breathlessness and diagnosed as non-ST-elevation myocardial infarction (NSTEMI). Transthoracic echocardiography (TTE) was performed showing LV-IDH, confirmed with cardiac magnetic resonant imaging (cMRI). Selective coronary arteriography (CAG) was performed showing significant obstructive coronary artery disease (CAD). Further management with conservative approach involved discussion with patient, cardiothoracic surgeon and cardiology team including heart failure specialist and interventional cardiology.
conclusionsThis case describes a rare complication of AMI and also focuses on utility of TTE and cMRI in the diagnosis of this rare complication. Both diagnosis and management are challenging and have to be individualized in similar cases. Multidisciplinary care coordination is important in management of patients with this diagnosis.
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