title: Left atrial hematoma complicating inferior myocardial infarction.
abstract: 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).
authors.affiliation: Department of Cardiology, St. Vincent's Hospital, Darlinghurst, Australia. jkovacic@netline.net.au
authors.forename: Jason Ciril
authors.initials: JC
authors.lastname: Kovacic
authors.forename: Matthew David A'court
authors.initials: MD
authors.lastname: Horton
authors.forename: Terence John
authors.initials: TJ
authors.lastname: Campbell
authors.forename: Stephanie Helen
authors.initials: SH
authors.lastname: Wilson
mesh_terms: 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*