title: Corrective Operation in an Intramyocardial Dissecting Hemorrhage After Subacute Anterior Myocardial Infarction.
abstract: Intramyocardial dissecting hemorrhage is a very rare and potentially lethal complication of myocardial infarction. The diagnosis is typically made by echocardiography, by cardiac magnetic resonance imaging, at operation, or during postmortem examination. Medical treatment is most often associated with high mortality, and surgical treatment is required. We report a 53-year old man admitted to the urology department with a large left-sided kidney infarction. A subacute myocardial infarction by electrocardiogram, elevated troponin T level, and typical clinical signs of an acute coronary syndrome 5 days and 2 weeks before admission were also evident. Intramyocardial dissecting hemorrhage with an adjacent thrombotic formation was suspected by echocardiography and cardiac computed tomography and confirmed by magnetic resonance imaging. The patient underwent successful surgical correction and was discharged in good clinical condition.
authors.affiliation: Department of Cardiology, Asklepios Clinic St Georg, Hamburg, Germany. Electronic address: e.bahlmann@asklepios.com.
authors.forename: Edda
authors.initials: E
authors.lastname: Bahlmann
authors.affiliation: Department of Cardiothoracic Surgery, Asklepios Clinic St Georg, Hamburg, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Oberhoffer
authors.affiliation: Department of Cardiology, Asklepios Clinic St Georg, Hamburg, Germany.
authors.forename: Felix
authors.initials: F
authors.lastname: Kreidel
authors.affiliation: Department of Cardiology, Asklepios Clinic St Georg, Hamburg, Germany.
authors.forename: Hendrick
authors.initials: H
authors.lastname: van der Schalk
authors.affiliation: Department of Cardiology, Asklepios Clinic St Georg, Hamburg, Germany.
authors.forename: Karl-Heinz
authors.initials: KH
authors.lastname: Kuck
authors.affiliation: Department of Radiology, Asklepios Clinic St Georg, Hamburg, Germany.
authors.forename: Dietmar
authors.initials: D
authors.lastname: Kivelitz
authors.affiliation: Department of Cardiology, Marienkrankenhaus, Hamburg, Germany.
authors.forename: Ingo
authors.initials: I
authors.lastname: Paetsch
authors.affiliation: Department of Cardiology, Marienkrankenhaus, Hamburg, Germany.
authors.forename: Cosima
authors.initials: C
authors.lastname: Jahnke
authors.affiliation: Department of Cardiology, Marienkrankenhaus, Hamburg, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: van de Loo
authors.affiliation: Department of Cardiothoracic Surgery, Asklepios Clinic St Georg, Hamburg, Germany.
authors.forename: Ralf
authors.initials: R
authors.lastname: Bader
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D006331:Heart Diseases / Q000209:etiology* / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*