Evidence map›Paper›PMID 42283688›Full record

ArticleJACC. Case reports2026

Intramyocardial Dissecting Hematoma After Myocardial Infarction Diagnosed by Multimodality Imaging.

Benjamin C Borg, Curtis Josephs, Christian Ghincea, Amrut V Ambardekar, Joseph Cleveland, Raymundo Quintana Quezada, Xiang Li

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Benjamin C BorgDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. Electronic address: Benjamin.borg@cuanschutz.edu.
Curtis JosephsDepartment of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Christian GhinceaDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Amrut V AmbardekarDepartment of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Joseph ClevelandDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Raymundo Quintana QuezadaDepartment of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Xiang LiDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntramyocardial dissection is a rare mechanical complication of myocardial infarction that may mimic left ventricular (LV) thrombus. CASE SUMMARY: A 47-year-old man presented with progressive dyspnea and severe LV dysfunction with a large LV mass initially presumed to be thrombus. Despite anticoagulation, he developed cardiogenic shock and ventricular tachycardia. Coronary angiography showed severe multivessel coronary artery disease. Cardiac magnetic resonance imaging demonstrated extensive anterior transmural infarction with a dissecting intramyocardial cavity consistent with intramyocardial dissection. Given profound LV dysfunction and hostile apical anatomy precluding LV assist device placement, he required temporary mechanical support and underwent successful orthotopic heart transplantation. DISCUSSION: Multimodality imaging is essential to distinguish intramyocardial dissection from thrombus and guide advanced heart failure therapy. TAKE-HOME MESSAGES: Consider intramyocardial dissection in post-myocardial infarction LV masses with clinical deterioration. Cardiac magnetic resonance imaging is critical for diagnosis and management.

Indexed as

acute heart failurecardiac magnetic resonancedissectionechocardiographyimagingmyocardial infarction

Identifiers

PMID42283688
PMCPMC13523149

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.