Asymptomatic left ventricular dissection

Nagy, András; Khan, Zafar Iqbal; Sayari, Saeed Yahya Al; Aboushaeshae, Abdelaziz Sabry; Natarajan, Rathibala

doi:10.4103/jcecho.jcecho_40_16

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Thirty-two developed intramyocardial dissecting hematoma after myocardial infarction, in 8 patients intra myocardial dissecting hematoma developed following trauma, 5,6 during percutaneous coronary angioplasty, 7 during ablation of ventricular tachycardia, 8 and as a complication of cardiac surgery: mitral valve surgery [9][10][11] and coronary artery bypass grafting. 12 Anterior myocardial infarction [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] , and 2 our cases occurred in most patients with MI 66%. The rest presented with MI in other locations.…”

Section: Resultsmentioning

confidence: 99%

Intramyocardial dissecting hematoma: Two case reports and a meta‐analysis of the literature

et al. 2018

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Until recently, diagnosis of intramyocardial dissecting hematoma (IDH) was performed during necropsy or at surgery. During the recent years, echocardiography has permitted clinical suspicion, which usually needed confirmation with magnetic resonance imaging (MRI). In this study, we tried to define clinical and imaging features of IDH and predictors of mortality. We searched the literature for proven cases of IDH and analyzed them together with 2 of our cases. A total of 40 cases of IDH (2 our original and 38 literature cases) were included. Mean age was 60. In 32 cases, IDH was a complication of myocardial infarction (MI), in 66% anterior, a mean time from symptoms to diagnosis was 9 days. Thirty-eight % underwent surgery. In-hospital mortality was 23%. Multivariate analysis showed that the strongest independent predictor of mortality (42%) was EF < 35%; in patients with age >60, mortality risk was 44%; and in the presence of MI or late diagnosis (>24 hours since symptoms started), mortality risk was 50%. In summary, IDH is a diagnostic challenge. A high level of suspicion is needed for prompt diagnosis. Management of these patients is based on individual clinical and imaging parameters. Low EF, age > 60, and late diagnosis, all are predictors of in-hospital mortality.

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Section: Resultsmentioning

confidence: 99%

Intramyocardial dissecting hematoma: Two case reports and a meta‐analysis of the literature

et al. 2018

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“…Diagnosis is based on visualization of an echo‐lucent intra‐myocardial cavity walled by a thin and hypermobile endocardial layer on the inner border and the myocardium forming the outer border. Differentiating a dissecting hematoma from other MI‐related mechanical complications including pseudoaneurysm or intracavitary thrombus is challenging, and CMR may have a diagnostic role in hemodynamically stable patients 4,5 . The optimal management strategy is controversial and depends on the patient's clinical condition and stability.…”

Section: Case Reportmentioning

confidence: 99%

Left ventricular intra‐myocardial dissection after myocardial infarction

et al. 2020

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Left ventricular (LV) intra-myocardial dissection or dissecting hematoma is a rare complication of myocardial infarction that could occur in the acute phase, during remodeling process and even after coronary revascularization. LV intra-myocardial dissection has a high mortality, and the best management strategy remains controversial. Here, we present a case of dissection of left ventricle late after anterior myocardial infarction diagnosed by multimodality imaging.

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Asymptomatic left ventricular dissection

Cited by 2 publications

References 3 publications

Intramyocardial dissecting hematoma: Two case reports and a meta‐analysis of the literature

Intramyocardial dissecting hematoma: Two case reports and a meta‐analysis of the literature

Left ventricular intra‐myocardial dissection after myocardial infarction

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