Left atrial hematoma complicating inferior myocardial infarction.
Intramyocardial dissecting hematoma after myocardial infarction is a rare condition. Previous reports have documented that these hematomas form almost exclusively in the myocardium adjacent to the culprit coronary lesion. We report a case of coexistent intramyocardial dissecting hematoma and ventricular rupture that arose as a consequence of a distal right coronary artery occlusion. Unusually, there was a very long dissection plane, which crossed the atrioventricular groove, with the hematoma manifesting on the opposite side of the heart (left atrium) to the infarcted myocardium (inferior wall).
Kovacic
Jason Ciril
JC
Department of Cardiology, St. Vincent's Hospital, Darlinghurst, Australia. jkovacic@netline.net.au
Horton
Matthew David A'court
MD
Campbell
Terence John
TJ
Wilson
Stephanie Helen
SH
D000368:Aged; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*