Ventricular Intramyocardial Dissecting Hematoma: What Is its True Clinical Evolution and the Best Treatment?

Sergio Moral; Sandra Martinez-Ballart; Esther Ballesteros; Ramon Brugada

doi:10.1016/j.jaccas.2023.102085

Ventricular Intramyocardial Dissecting Hematoma: What Is its True Clinical Evolution and the Best Treatment?

JACC Case Rep. 2023 Oct 23:28:102085. doi: 10.1016/j.jaccas.2023.102085. eCollection 2023 Dec 20.

Authors

Sergio Moral^{1

2}, Sandra Martinez-Ballart³, Esther Ballesteros⁴, Ramon Brugada^{1

2

5}

Affiliations

¹ Cardiology Department, Hospital Universitari Doctor Josep Trueta, Girona, Spain.
² Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares, Madrid, Spain.
³ Cardiology Department. Hôpital Fribourgeois, Fribourg, Switzerland.
⁴ Dirección Territorial de Radiología y Medicina Nuclear de Gerona, Girona, Spain.
⁵ Department of Medical Sciences, Universitat de Girona, Girona, Spain.

Abstract

Intramyocardial dissecting hematoma (IDH), in the setting of an acute coronary syndrome, is a rare type of cardiac rupture. However, the best treatment for IDH in each clinical scenario is not clearly defined. We present a case in which the best approach for IDH and its final outcome are discussed.

Keywords: cardiac magnetic resonance; echocardiography; myocardial infarction.