Right ventricular wall hematoma due to thrombolytic therapy presenting as cardiac tamponade: a case report and review of literature.
Intramyocardial hematoma is an uncommon condition, most often occurring after myocardial infarction or chest trauma. A 54-year-old male patient with a large right ventricular wall hematoma who presented with cardiac tamponade three days after acute inferoposterior myocardial infarction and thrombolysis is described. This is the first report of intramyocardial hematoma related to thrombolytic therapy. The patient was managed conservatively with complete resolution of the right ventricular hematoma.
Mohamed
Hassan A
HA
Division of Cardiology, Regina General Hospital, Regina, Saskatchewan. hassan@sk.sympatico.ca
Habib
Naiyer
N
Dewar
Leith R
LR
Busse
Edward F
EF
D017130:Angioplasty; D002305:Cardiac Tamponade / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis*; D009202:Cardiomyopathies / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D006352:Heart Ventricles; D006406:Hematoma / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D013300:Streptokinase / Q000008:administration & dosage / Q000009:adverse effects*
D005343:Fibrinolytic Agents; D013300:Streptokinase