Sakrana Amal Abdelsattar, Alzubaidi Shadha A Ahmed, Shahat Abdulhameed Mohmmed, Mahmoud Abeer Sabri, Naeim Hesham Abdo
Madina Cardiac Center, 23411 AL Madinah Al munawwrah, Khaled Bin Al Waleed Road, AL Madinah Al munawwrah, Saudi Arabia.
BJR Case Rep. 2020 Jun 3;6(4):20200028. doi: 10.1259/bjrcr.20200028. eCollection 2020 Dec 1.
Intramyocardial dissecting hematoma (IMDH) is an uncommon fatal complication after acute myocardial infarction. It is usually under identified. Transthoracic echocardiography is the first-line modality that can detect IMDH. Cardiac magnetic resonance could confirm the diagnosis. In this paper, we reported a unique partially thrombosed large left ventricle IMDH that mimics thrombosed true aneurysm aiming to highlight the supporting diagnostic transthoracic echocardiography and cardiac magnetic resonance criteria of IMDH.
心肌内夹层血肿（IMDH）是急性心肌梗死后一种罕见的致命并发症。它通常未被识别。经胸超声心动图是可检测到IMDH的一线检查方法。心脏磁共振成像能够确诊。在本文中，我们报告了一例独特的、部分血栓形成的巨大左心室IMDH，其酷似血栓形成的真性室壁瘤，旨在强调支持IMDH诊断的经胸超声心动图和心脏磁共振成像标准。
