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Intramyocardial Dissecting Hematoma: Cardiac Trauma and Ischemic Heart Disease: Multimodality Imaging Techniques
Author(s) -
Urmeneta Ulloa Javier,
Molina Borao Isabel,
Portolés Ocampo Ana,
Lapuente González Pilar,
Moreno Esteban Eva,
Calvo Cebollero Isabel
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13253
Subject(s) - medicine , ventricle , hematoma , myocardial infarction , radiology , cardiology , accidental fall , angiography , surgery
Mini‐Abstract A 37‐year‐old male patient came to hospital after an accidental fall from 8.20 feet high. CT scan showed an image compatible with an old myocardial infarction at the apex of the left ventricle ( LV ) and a thrombosed aneurysm. At the echocardiography, adjacent to LV apex, an image of low echoic density was seen, as well as a mobile endocardial flap, suggesting a contained subacute ventricular rupture. Three multisegment arterial diseases were found at the coronary angiography. It was agreed to choose a conservative treatment. The patient was controlled with the performance of 3D, contrast echocardiography, and cardiac MRI confirming diagnosis of intramyocardial dissecting hematoma.