Early Spontaneous Remission of Intramyocardial Dissecting Hematoma

• Published in: Internal Medicine Vol. 56; no. 9; pp. 1067 - 1070
• Main Authors: Miura, Ayako, Uemura, Yusuke, Takemoto, Kenji, Uchikawa, Tomohiro, Koyasu, Masayoshi, Ishikawa, Shinji, Mitsuda, Takayuki, Imai, Ryo, Iwamiya, Satoshi, Ozaki, Yuta, Watanabe, Takashi, Watarai, Masato, Ishii, Hideki, Murohara, Toyoaki
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01.01.2017; Japan Science and Technology Agency
• Subjects: acute myocardial infarction; Case Report; complication; Hematoma; Hematoma - diagnostic imaging; Hematoma - etiology; Humans; Internal medicine; intramyocardial dissecting hematoma; Male; Middle Aged; Multimodal Imaging; Myocardial infarction; Myocardial Infarction - complications; Remission; Remission, Spontaneous; Treatment Outcome; intramyocardial dissecting hematoma; complication; acute myocardial infarction
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.56.7967

Intramyocardial dissecting hematoma is a rare but potentially fatal complication of myocardial infarction. The decision to adopt a surgical or conservative strategy may depend on the clinical and hemodynamic stability of patients. Regardless, the precise and temporal assessment of the structure of hematoma is imperative. We herein report the first case of a patient with early spontaneous remission of intramyocardial dissecting hematoma successfully managed by a conservative approach with multimodality imaging.