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Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
Left ventricular haematoma mimicking lateral wall myocardial infarction secondary to percutaneous coronary
Omer Senarslan1, Necdet Batuhan Tamci2, Umut Hasan Kantarci3
1Department of Cardiology, Medifema Hospital, Izmir, Turkey.
Insights
Dissecting intra-myocardial hematoma is a rare, fatal cardiac surgery complication. Conservative management of this rare left ventricular complication after percutaneous coronary intervention can be successful.
Area of Science:
- Cardiology
- Cardiac Surgery
- Interventional Cardiology
Background:
- Dissecting intra-myocardial hematoma is a rare and potentially fatal complication following cardiac surgery.
- Patients with prior cardiac surgery face increased risk for this complication after percutaneous coronary intervention.
Observation:
- A 63-year-old woman developed a left ventricular wall-dissecting intra-myocardial hematoma 30 minutes post-percutaneous coronary intervention.
- This rare cardiac event presented a management challenge.
Findings:
- The patient was successfully treated with conservative management.
- This approach led to a favorable outcome in a case of post-percutaneous coronary intervention dissecting intra-myocardial hematoma.
Implications:
- Conservative management can be a viable strategy for left ventricular dissecting intra-myocardial hematoma.
- This case highlights the importance of recognizing and managing this rare complication after interventional procedures in high-risk patients.
Abstract:
Dissecting intra-myocardial haematoma is a rare disease and a potentially fatal complication after cardiac surgery. Patients with previous heart surgery have more risk for dissecting intra-myocardial haematoma after percutaneous coronary intervention. Management of this issue is challenging. We describe a rare case of a 63-year-old woman with a left ventricular wall-dissecting intra-myocardial haematoma, which developed 30 minutes after percutaneous coronary intervention. The patient was treated conservatively, with a successful outcome.
