Subacute anterior wall myocardial infarction complicated by intramyocardial dissection

Myocardial dissection is a rare but fatal complication of myocardial infarction requiring urgent surgical treatment to avoid complete rupture. We report a case of intramyocardial dissecting hematoma treated with supportive pharmacologic therapy for 9 months of follow-up without surgical intervention...

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Bibliographic Details
Published in:The American journal of emergency medicine 2012-06, Vol.30 (5), p.834.e5-834.e6
Main Authors: Yilmaz, Fatih, Guler, Gamze Babur, MD, Karaca, Oguz, MD, Guler, Ekrem, MD, Kizilirmak, Filiz, MD, Sensoy, Baris, MD
Format: Article
Language:English
Subjects:
Aged
Anterior Wall Myocardial Infarction - complications
Dissection
Echocardiography
Electrocardiography
Emergency
Female
Heart attacks
Heart Rupture, Post-Infarction - diagnostic imaging
Heart Rupture, Post-Infarction - etiology
Hematoma - diagnostic imaging
Hematoma - etiology
Humans
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Description
Summary:Myocardial dissection is a rare but fatal complication of myocardial infarction requiring urgent surgical treatment to avoid complete rupture. We report a case of intramyocardial dissecting hematoma treated with supportive pharmacologic therapy for 9 months of follow-up without surgical intervention.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2011.03.005