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J Am Soc Echocardiogr · Nov 2004
Case ReportsLeft atrial hematoma complicating inferior myocardial infarction.
- Jason Ciril Kovacic, Matthew David A'court Horton, Terence John Campbell, and Stephanie Helen Wilson.
- Department of Cardiology, St. Vincent's Hospital, Darlinghurst, Australia. jkovacic@netline.net.au
- J Am Soc Echocardiogr. 2004 Nov 1; 17 (11): 1201-3.
AbstractIntramyocardial dissecting hematoma after myocardial infarction is a rare condition. Previous reports have documented that these hematomas form almost exclusively in the myocardium adjacent to the culprit coronary lesion. We report a case of coexistent intramyocardial dissecting hematoma and ventricular rupture that arose as a consequence of a distal right coronary artery occlusion. Unusually, there was a very long dissection plane, which crossed the atrioventricular groove, with the hematoma manifesting on the opposite side of the heart (left atrium) to the infarcted myocardium (inferior wall).
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