Early Spontaneous Remission of Intramyocardial Dissecting Hematoma
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 h...
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Published in | Internal Medicine Vol. 56; no. 9; pp. 1067 - 1070 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
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The Japanese Society of Internal Medicine
01.01.2017
Japan Science and Technology Agency |
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Abstract | 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. |
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AbstractList | 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. |
Author | Miura, Ayako Imai, Ryo Ishii, Hideki Takemoto, Kenji Watarai, Masato Uemura, Yusuke Mitsuda, Takayuki Watanabe, Takashi Koyasu, Masayoshi Uchikawa, Tomohiro Ishikawa, Shinji Iwamiya, Satoshi Ozaki, Yuta Murohara, Toyoaki |
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Cites_doi | 10.2169/internalmedicine.35.33 10.1111/j.1540-8191.1993.tb00422.x 10.1007/s00330-010-1849-9 10.1161/CIRCULATIONAHA.106.685818 10.1067/mje.2001.109984 |
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Keywords | intramyocardial dissecting hematoma complication acute myocardial infarction |
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Notes | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Correspondence to Dr. Yusuke Uemura, yusuke0307@kosei.anjo.aichi.jp |
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References | 1. Pliam MB, Sternlieb JJ. Intramyocardial dissecting hematoma: an usual form of subacute cardiac rupture. J Card Surg 8: 628-637, 1993. 5. Jahnke C, Hetzer R, Komoda T, Fleck E, Paetsch I. Images in cardiovascular medicine. Intramural dissecting hemorrhage of the myocardium. Circulation 115: e457-e459, 2007. 7. Vargas-Barron J, Roldan FJ, Romero-Cardenas A, Espinola-Zavaleta N, Keirns C, Gonzalez-Pacheco H. Two- and three-dimensional transesophageal echocardiographic diagnosis of intramyocardial dissecting hematoma after myocardial infarction. J Am Soc Echocardiogr 14: 637-640, 2001. 2. Dias V, Cabral S, Gomes C, et al. Intramyocardial dissecting hematoma: a rare complication of acute myocardial infarction. Eur J Echocardiogr 10: 585-587, 2009. 4. Bekkers SC, Smulders MW, Passos VL, et al. Clinical implications of microvascular obstruction and intramyocardial haemorrhage in acute myocardial infarction using cardiovascular magnetic resonance imaging. Eur Radiol 20: 2572-2578, 2010. 3. Hsieh YC, Tsai IC, Tsao CR, Lin TC, Ting CT, Wu TJ. Spontaneous remission of ruptured intramyocardial hematoma detected upon serial multidetector computed tomography. Tex Heart Inst J 37: 350-353, 2010. 6. Nakata A, Hirota S, Tsuji H, Takazakura E. Interventricular septal dissection in a patient with an old myocardial infarction. Intern Med 35: 33-35, 1996. 20577881 - Eur Radiol. 2010 Nov;20(11):2572-8 17502581 - Circulation. 2007 May 15;115(19):e457-9 8652930 - Intern Med. 1996 Jan;35(1):33-5 11391294 - J Am Soc Echocardiogr. 2001 Jun;14 (6):637-40 8286867 - J Card Surg. 1993 Nov;8(6):628-37 20548821 - Tex Heart Inst J. 2010;37(3):350-3 19339261 - Eur J Echocardiogr. 2009 Jun;10 (4):585-7 1 2 3 4 5 6 7 |
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SubjectTerms | 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 |
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Title | Early Spontaneous Remission of Intramyocardial Dissecting Hematoma |
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