Miura Ayako, Uemura Yusuke, Takemoto Kenji, Uchikawa Tomohiro, Koyasu Masayoshi, Ishikawa Shinji, Mitsuda Takayuki, Imai Ryo, Iwamiya Satoshi, Ozaki Yuta, Watanabe Takashi, Watarai Masato, Ishii Hideki, Murohara Toyoaki
Cardiovascular Center, Anjo Kosei Hospital, Japan.
Department of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Intern Med. 2017;56(9):1067-1070. doi: 10.2169/internalmedicine.56.7967. Epub 2017 May 1.
Intramyocardial dissecting hematoma is a rare but potentially fatal complication of myocardial infarction. The decision to adopt a surgical or conservative strategy may depend on the clinical and hemodynamic stability of patients. Regardless, the precise and temporal assessment of the structure of hematoma is imperative. We herein report the first case of a patient with early spontaneous remission of intramyocardial dissecting hematoma successfully managed by a conservative approach with multimodality imaging.
心肌内夹层血肿是心肌梗死罕见但可能致命的并发症。采取手术或保守治疗策略的决定可能取决于患者的临床和血流动力学稳定性。无论如何，对血肿结构进行精确的实时评估至关重要。我们在此报告首例心肌内夹层血肿早期自发缓解的患者，通过多模态成像的保守方法成功治疗。
