Left Ventricular Intramyocardial Dissecting Hematomas

Gaurav Agarwal; Vijay Kumar Jr; K H Srinivas; Cholenahally N Manjunath; Bhat Prabhavathi

doi:10.1016/j.jaccas.2020.07.038

Left Ventricular Intramyocardial Dissecting Hematomas

JACC Case Rep. 2020 Oct 7;3(1):94-98. doi: 10.1016/j.jaccas.2020.07.038. eCollection 2021 Jan.

Authors

Gaurav Agarwal¹, Vijay Kumar Jr¹, K H Srinivas¹, Cholenahally N Manjunath¹, Bhat Prabhavathi¹

Affiliation

¹ Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bengaluru, Karnataka, India.

Abstract

Intramyocardial dissection is a rare complication of myocardial infarction, trauma, and percutaneous intervention. It is usually caused by hemorrhagic dissection among the spiral myocardial fibers. We hereby report the case of a patient with left ventricular intramyocardial dissection who presented with acute decompensated heart failure. (Level of Difficulty: Advanced.).

Keywords: EF, ejection fraction; IDH, intramyocardial dissecting hematoma; IHD, ischemic heart disease; IVS, interventricular septum; LV, left ventricle; MI, myocardial infarction; MR, magnetic resonance; NYHA, New York Heart Association; acute heart failure; cardiac magnetic resonance; contrast agent; dissection; myocardial infarction.

Publication types

Case Reports