Title Dissecting intramyocardial hematoma with flexuous channel in myocardium masquerading as a ventricular pseudoaneurysm
Authors Hao, Xinghai
Lu, Yang
Zhang, Zhu
Jia, Ming
Affiliation Capital Med Univ, Cardiac Surg Dept, Beijing Anzhen Hosp, 2 Anzhen Rd, Beijing 100029, Peoples R China.
Peking Univ, Stomatol Dept, Hosp 3, Beijing, Peoples R China.
Keywords dissecting intramyocardial hematoma
ventricular pseudoaneurysm
coronary heart disease
acute myocardial infarction
coronary artery bypass grafting
Issue Date 2018
Publisher PERFUSION-UK
Citation PERFUSION-UK. 2018, 33(7), 602-603.
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.
URI http://hdl.handle.net/20.500.11897/517038
ISSN 0267-6591
DOI 10.1177/0267659118765311
Indexed SCI(E)
PubMed
Appears in Collections: 第三医院

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