Intramyocardial Dissecting Hematoma: A Mechanical Complication Needing Surgical Therapy?

JACC Case Rep. 2022 Nov 2;4(21):1443-1448. doi: 10.1016/j.jaccas.2022.07.025.


Intramyocardial dissecting hematoma is a form of cardiac rupture caused by myocardial infarction, percutaneous coronary intervention, or trauma. It is a cavity between myocardial fibers caused by partial rupture of the ventricular wall. Therapeutic management, including the timing for surgical approach, has not been standardized. We present a case series describing 4 patients. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; IDH, intramyocardial dissecting hematoma; STEMI, ST-segment elevation myocardial infarction; TTE, transthoracic echocardiography; cardiovascular disease; computed tomography; dissection; echocardiography; myocardial ischemia.

Publication types

  • Case Reports