Intramyocardial dissecting hematoma

Abstract

Intramyocardial dissecting hematoma is an under-recognized complication after acute myocardial infarction. Transthoracic echocardiography allows diagnosing intramyocardial hematoma at the bedside, documenting its evolution and assessing the effects on left ventricular remodeling. Cardiac magnetic resonance imaging provides complimentary information and is often required for differential diagnosis of this condition. Treatment depends upon the rate of expansion of hematoma. Sometimes in stable patients, hematoma regresses with the time and does not require any intervention whereas in other cases, rapidly expanding hematoma with hemodynamic compromise will require urgent surgical intervention.

Keywords

• Intramyocardial dissecting hematoma
• Complications after MI