Dissecting intramyocardial hematoma with flexuous channel in myocardium masquerading as a ventricular pseudoaneurysm

Author:

Hao Xinghai1,Lu Yang2,Zhang Zhu1,Jia Ming1

Affiliation:

1. Cardiac Surgery Department, Beijing Anzhen Hospital, Capital Medical University, Beijing, China

2. Stomatology Department, Peking University Third Hospital, Peking University, Beijing, China

Abstract

We report a 58-year-old acute myocardial infarction patient with dissecting intramyocardial hematoma (DIH) disguised as a ventricular pseudoaneurysm. DIH with a flexuous and narrow channel in the myocardium was confirmed during the operation, which extended deeply into the periphery of the ventricular wall. This DIH connected with the left ventricle via a narrow-necked flexuous channel of the myocardial defect and looked like a bulged sac surrounded by a thin wall of myocadium. No pericardium effusion was seen. Based on this report, we believe that a DIH has plentiful variety and this specific kind of DIH should be differentially diagnosed with pseudoaneurysm.

Funder

Beijing Municipal Administration of Hospitals Incubating Program

Publisher

SAGE Publications

Subject

Advanced and Specialised Nursing,Cardiology and Cardiovascular Medicine,Safety Research,Radiology Nuclear Medicine and imaging,General Medicine

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