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Updated: Sep 29, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Spontaneous closure (thrombosis) of the intramyocardial dissection: 40-month follow-up
Jaroslaw Drozdz1, Jaroslaw D Kasprzak, Maria Krzeminska-Pakula
1Department of Cardiology, Medical University Lodz, 1/5 Kniaziewicza, 91 347 Lodz, Poland. drozdz@ptkardio.pl
Insights
Intramyocardial dissection, a rare complication of heart attack or chest trauma, involves a hematoma within heart muscle layers. This case highlights its clinical course and echocardiographic features.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Pathology
Background:
- Intramyocardial dissection is an uncommon cardiac event.
- It arises from hematoma formation between myocardial fiber layers.
- Often associated with myocardial infarction or blunt chest trauma.
Observation:
- This report details an unusual case of intramyocardial dissection.
- The clinical course of the patient is described.
- Two-dimensional and three-dimensional echocardiographic findings were documented.
Findings:
- Echocardiography revealed characteristic features of intramyocardial dissection.
- Detailed imaging provided insights into the hematoma's location and extent.
- The case illustrates the diagnostic utility of echocardiography in such rare conditions.
Implications:
- Understanding intramyocardial dissection improves diagnosis and patient management.
- Echocardiography plays a crucial role in identifying this rare complication.
- Further research may elucidate the long-term outcomes and treatment strategies.
Abstract:
Intramyocardial dissection is an uncommon complication of a myocardial infarction or blunt chest trauma created by a hematoma located between the layers of myocardial fibers. This report describes the clinical course, 2-dimensional, and 3-dimensional echocardiographic findings of an unusual case of the intramyocardial dissection.

