title: [Clinical outcome of intramyocardial dissecting hematoma after acute myocardial infarction].
abstract: Objective:To observe the clinical outcome of intramyocardial dissecting hematoma (IDH) after acute myocardial infarction (MI).Methods:The clinical characteristics and outcomes of nine patients with IDH after acute MI in Beijing Anzhen Hospital from 2010 to 2014 were retrospectively assessed, and all the patients were followed up.Results:The mean age of nine IDH patients (7 males, 2 females) was (61±5) years. One patient was diagnosed as right ventricular IDH and died before surgery because of deteriorated cardiac and renal failure. Eight patients were diagnosed as left ventricular IDH, among whom 1 patient died of perioperative bleeding. The other 7 patients survived, among whom 5 cases were treated medically and 2 cases accepted surgical treatment. After 2-6 years of follow-up, the survived patients had no other complications.Conclusion:IDH after acute MI was a rare clinical event with a high mortality, and improvement of recognition of this rare condition may reduce its mortality, especially the right ventricular IDH.
authors.affiliation: Department of Ultrasound, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Zhao
authors.forename: L
authors.initials: L
authors.lastname: Sun
authors.forename: J C
authors.initials: JC
authors.lastname: Han
authors.forename: W X
authors.initials: WX
authors.lastname: Liu
authors.forename: T T
authors.initials: TT
authors.lastname: Man
authors.forename: Z
authors.initials: Z
authors.lastname: Chen
authors.forename: Y H
authors.initials: YH
authors.lastname: He
mesh_terms: D005260:Female; D006352:Heart Ventricles; D006406:Hematoma; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction