Clinical Case Reports (Jul 2024)

Coronary artery intramural hematoma causing myocardial infarction mimicking pseudoaneurysm or dissection from trauma: A case report

  • Abdulilah Z. Albriek,
  • Saad Alamri,
  • Faisal Hamad,
  • Mostafa Alshamiri

DOI
https://doi.org/10.1002/ccr3.8988
Journal volume & issue
Vol. 12, no. 7
pp. n/a – n/a

Abstract

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Key Clinical Message Blunt chest trauma caused ST‐segment elevation myocardial infarction. Diagnosis of intramural hematoma (IMH) using computed tomography was confirmed using electrocardiography, cardiac marker tests, and subsequent coronary angiography. After conservative treatment, the hematoma was completely resolved 1 year later. Differentiating IMH from other arterial injuries is critical for appropriate management.

Keywords