Post-myocardial infarction left ventricular intramyocardial dissecting hematoma
نویسندگان
چکیده
Ăvod: IntramyokardiĂĄlnĂ disekujĂcĂ hematom (IDH) je dutina ve stÄnÄ srdce vyplnÄnĂĄ krvĂ, kterĂĄ vznikĂĄ oslabenĂm stÄny nekrĂłzou po infarktu myokardu. IDH se mĹŻĹže vytvoĹit levĂŠ komory, pravĂŠ komory nebo interventrikulĂĄrnĂho septa. Popis pĹĂpadu: Kazuistika popisuje pacienta s jako vzĂĄcnou komplikaci Pacient byl hospitalizovĂĄn pro trvajĂcĂ obtÄĹžujĂcĂ kaĹĄel tĹi mÄsĂce prodÄlĂĄnĂ myokardu ĹeĹĄenĂŠm implantacĂ stentu. Dle echokardiografie bylo podezĹenĂ na krytou rupturu volnĂŠ laterĂĄlnĂ obrazem pseudoaneu- rysmatu, kterou rozhodnuto o operaÄnĂm ĹeĹĄenĂ. PĹi operaci nĂĄlez ploĹĄnĂŠ dutiny komunikujĂcĂ otvorem levou komorou. VnitĹnĂ i vnÄjĹĄĂ stÄna obsahovala srdeÄnĂ svalovinu, a tak byla diagnostikovĂĄna IDH. Otvor byly uzavĹeny stehy pĹes meshovĂŠ podloĹžky suturou meshovĂ˝ prouĹžek. PooperaÄnĂ prĹŻbÄh obeĹĄel bez komplikacĂ pacient propuĹĄtÄn osmĂ˝ den operaci. Diskuse: Diagnostika zaklĂĄdĂĄ anamnĂŠze nĂĄlezech echokardiografii. Mezi znĂĄmky echokardiografickĂŠho obrazu patĹĂ vytvoĹenĂ novĂŠ uvnitĹ echolucentnĂm stĹedem. DiferenciĂĄlnĂ diagnostika zahrnuje aneurysma, pseudoaneurysma, trombus LK trabekuly komor. ZĂĄvÄr: komplikace myokardu, tĹeba pomýťlet pĹi diferenciĂĄlnĂ diagnostice novÄ vzniklĂŠ ultrazvukovĂŠm vyĹĄetĹenĂ. KonzervativnĂ ĹeĹĄenĂ moĹžnĂŠ u malĂ˝ch rozmÄrĹŻ, kterĂ˝ch nedochĂĄzĂ k progresi. U hemodynamickĂŠ nestability velkĂ˝ch progredujĂcĂch namĂstÄ chirurgickĂŠ © 2023, ÄKS.
منابع مشابه
Rapid retraction of a post-infarction intramyocardial dissecting hematoma.
A 60-year-old male with a recent anterior myocardial infarction (MI) was referred to our hospital for implantable cardioverter defibrillator (ICD) implantation. He was on the 42nd day of MI and clinically stable on admission. Electrocardiography showed right bundle branch block with QS pattern on anterior leads. Transthoracic echocardiographic examination revealed an ejection fraction of 25% wi...
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Intramyocardial dissecting hematoma is an infrequent complication of subacute myocardial infarction. Pathological findings consist of a cavity filled with blood, the outer wall of which is the myocardium and pericardium and the inner wall, which faces the ventricular cavity, is part of the myocardium and endocardium. There is scarce information on the subject and the management of these patient...
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Five days after the onset of substernal chest pain, a 60-year-old man with a history of hypertension, smoking (60 pack-years), severe bullous emphysema, and epilepsy presented with acutely worsening chest pain. Pharmacological management for non–ST-segment elevation myocardial infarction was initiated based on 12-lead ECG findings of subtle anterolateral ST segment changes (V2–V5) and a troponi...
متن کاملImages in Cardiovascular Medicine Multimodality Imaging of a Dissecting Intramyocardial Hematoma Extending into the Left Atrial Wall Following Myocardial Infarction
Five days after the onset of substernal chest pain, a 60-year-old man with a history of hypertension, smoking (60 pack-years), severe bullous emphysema, and epilepsy presented with acutely worsening chest pain. Pharmacological management for non–ST-segment elevation myocardial infarction was initiated based on 12-lead ECG findings of subtle anterolateral ST segment changes (V2–V5) and a troponi...
متن کاملEarly 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 hematoma is imperative. We herein report the first case of a patient with early spontaneous remiss...
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ژورنال
عنوان ژورنال: Cor et vasa
سال: 2023
ISSN: ['0010-8650', '1803-7712']
DOI: https://doi.org/10.33678/cor.2022.089