Early Spontaneous Remission of Intramyocardial Dissecting Hematoma

Intern Med. 2017;56(9):1067-1070. doi: 10.2169/internalmedicine.56.7967. Epub 2017 May 1.

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.

Keywords: acute myocardial infarction; complication; intramyocardial dissecting hematoma.

Publication types

  • Case Reports

MeSH terms

  • Hematoma / diagnostic imaging*
  • Hematoma / etiology*
  • Humans
  • Male
  • Middle Aged
  • Multimodal Imaging
  • Myocardial Infarction / complications*
  • Remission, Spontaneous
  • Treatment Outcome