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A Rare Case of Intramyocardial Dissecting Hematoma following Acute Myocardial Infarction
Shibsankar Sarkar1, Biswajit Majumder1, Ratul Ghosh1
1Department of Cardiology, R. G. Kar Medical College, Kolkata, West Bengal, India.
None:
Intramyocardial dissecting hematoma (IDH) is a rare and very dangerous complication of myocardial infarction (MI) and percutaneous intervention. Hemorrhage inside the spiral fibers of the myocardium causes this type of dreaded complication. We have reported a case of IDH following acute anterior wall MI. The patient's electrocardiogram showed ST elevation in precordial leads. The serum troponin level was elevated. IDH should be considered a rare complication after acute MI. The patient may present with features of cardiogenic shock. A two-dimensional echocardiography may demonstrate this type of complication.
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