Management of Intramyocardial Dissecting Hematoma Following Myocardial Infarction.

Beytullah Çakal, Sinem Çakal, Korhan Erkanlı
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Abstract

Intramyocardial dissecting hematoma (IDH) is a rare condition mostly seen following acute myocardial infarction, chest trauma, and cardiac surgery. It is described as an incomplete rupture caused by hemorrhagic dissection within the myocardium, rather than extending to the epicardial layer. Management strategies for IDH are controversial due to limited reports. We present a case of a 61-year-old man diagnosed with IDH, left main, and three-vessel disease, subsequently treated surgically.

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心肌梗死后心内膜剥离性血肿的处理方法。
心肌内剥离性血肿(IDH)是一种罕见病,多见于急性心肌梗死、胸部外伤和心脏手术后。它被描述为心肌内出血夹层引起的不完全破裂,而不是延伸到心外膜层。由于报道有限,IDH 的治疗策略还存在争议。我们介绍了一例 61 岁男性的病例,他被诊断为 IDH、左主干和三血管疾病,随后接受了手术治疗。
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