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Intramyocardial hematoma mimicking abnormal left ventricular trabeculation.
C Stöllberger1, J Finsterer, F R Waldenberger
12. Medizinische Abteilung, Krankenanstalt Rudolfstiftung, Wien, Austria. claudia.stoellberger@pips.co.at
Summary
Intramyocardial hematoma can mimic tumors on echocardiography. Surgical excision confirmed hematoma, resolving abnormal trabeculations seen post-infarction.
Area of Science:
- Cardiology
- Cardiac Surgery
- Diagnostic Imaging
Background:
- Intramyocardial hematoma is a rare cardiac condition.
- Echocardiography is crucial for diagnosing cardiac abnormalities.
- Left ventricular abnormal trabeculations can suggest skeletal muscle disorders.
Observation:
- A 68-year-old male presented with subacute posterior wall infarction and ventricular fibrillation.
- Initial echocardiography revealed isolated left ventricular abnormal trabeculations.
- Cardiac surgery was performed for severe 3-vessel disease.
Findings:
- An intramyocardial hematoma of the lateral wall was excised during surgery.
- Myocardial and skeletal muscle biopsies were negative for abnormal trabeculations or muscle disorders.
- Postoperative echocardiography showed resolution of the abnormal trabeculations.
Implications:
- This case highlights intramyocardial hematoma as a differential diagnosis for ventricular masses.
- Echocardiographic findings of abnormal trabeculations can be transient and related to hematoma.
- Accurate diagnosis and surgical management are essential for favorable outcomes.