[Diagnosis of an intramyocardial hematoma via MRI after a traumatic myocardial infarct].
Traumatic cardiac lesions occur in about 30% of all traumatized patients, in most cases they are due to traffic accidents. We report a patient who suffered from a traumatic anterior wall infarction following a ski accident. Consecutively, an extended intramyocardial hemorrhage occurred. A left ventricular pseudoaneurysm was considered first by echocardiography. Using MRI, an intramyocaridal hemorrhage could be diagnosed because of a thin myocardial border surrounding the hematoma. Consecutively, the patient underwent CABG surgery as well as a resection of the intramyocardial hematoma. This diagnosis could be manifested surgically and histologically.
Wittlinger
T
T
II. Med. Klinik und Poliklinik Johannes-Gutenberg-Universität, Mainz.
Voigtländer
T
T
Roberts
H
H
Kreitner
K F
KF
Roberts
T
T
Nixdorff
U
U
Oelert
H
H
Thelen
M
M
Meyer
J
J
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis*; D001265:Athletic Injuries / Q000473:pathology; D004562:Electrocardiography; D006335:Heart Injuries / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis*; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000473:pathology