Intramyocardial Hematoma After Ebstein Anomaly Repair.
Intramyocardial hematoma is a rare condition and is an incomplete form of myocardial rupture, which may occur after myocardial infarction, cardiac surgery, trauma, percutaneous coronary intervention, or spontaneously. We describe a case of a 16-year-old girl with intramyocardial hematoma mimicking an intracavitary thrombus following repair of Ebstein anomaly. The intramyocardial hematoma was incorrectly diagnosed on echocardiography as a right ventricular thrombus, and the true nature of the lesion was only realized during repeat surgical intervention for severe tricuspid regurgitation. The hematoma was managed conservatively and spontaneously resolved.
1 Department of Pediatrics, KK Women's and Children's Hospital, Singapore.
Joel Kian Boon
JK
Lim
2 Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore.|3 Duke-NUS Graduate School of Medicine, Singapore.
Jan Hau
JH
Lee
2 Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore.|3 Duke-NUS Graduate School of Medicine, Singapore.
Yee Hui
YH
Mok
4 Cardiology Service, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore.
Ching Kit
CK
Chen
5 Cardiothoracic Surgery Service, KK Women's and Children's Hospital, Singapore.
Yee Jim
YJ
Loh
D000293:Adolescent; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D009202:Cardiomyopathies / Q000175:diagnosis / Q000209:etiology*; D004437:Ebstein Anomaly / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D011183:Postoperative Complications
Ebstein anomaly; echocardiography; intramyocardial hematoma; pediatric