Left atrial hematoma complicating inferior myocardial infarction. |
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| Authors: | Jason Ciril Kovacic Matthew David A'court Horton Terence John Campbell Stephanie Helen Wilson |
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| Institution: | Department of Cardiology, St. Vincent's Hospital, Darlinghurst, Australia. jkovacic@netline.net.au |
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| Abstract: | Intramyocardial 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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