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Survival in Infarct Related Intramyocardial Dissection: Importance of Early Echocardiography and Prompt Surgery
Author(s) -
TIGHE DENNIS A.,
PAUL JAMES J.,
MANIET A.R.,
FLACK JOSEPH E.,
MANNION JOHN D.,
RIFKIN ROBERT D.,
RAICHLEN JOEL S.
Publication year - 1997
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/j.1540-8175.1997.tb00742.x
Subject(s) - medicine , ventricle , dissection (medical) , interventricular septum , cardiology , myocardial infarction , complication , surgery , radiology
Infarct related intramyocardial dissection, an unusual mechanical complication associated with recent inferior/inferoposterior myocardial infarction, is characterized by a septal defect and a dissection tract that originates on the left side of the interventricular septum, extends beyond the septum into the right ventricular free wall, and subsequently re‐enters the right ventricle. The utility of echo‐cardiography for diagnosis has been described. Despite aggressive therapy, the prognosis of intramyocardial dissection is reported to be dismal. We describe the use of prompt echocardiography in two patients, which established the diagnosis of infarct related intramyocardial dissection allowing early definitive surgery and long‐term survival.