Diagnosis of an intramyocardial hematoma via MRI after a traumatic myocardial infarct
Wittlinger, T.; Voigtländer, T.; Roberts, H.; Kreitner, K.F.; Roberts, T.; Nixdorff, U.; Oelert, H.; Thelen, M.; Meyer, J.
Zeitschrift für Kardiologie 88(2): 147-153
1999
ISSN/ISBN: 0300-5860 PMID: 10209836 Document Number: 499081
Traumatic cardiac lesions occur in about 30 % of all traumatized patients, in most cases they are due to traffic accidents. We report a patient who suffered from a traumatic anterior wall infarction following a ski accident. Consecutively, an extended intramyocardial hemorrhage occurred. A left ventricular pseudoaneurysm was considered first by echocardiography. Using MRI, an intramyocaridal hemorrhage could be diagnosed because of a thin myocardial border surrounding the hematoma. Consecutively, the patient underwent CABG surgery as well as a resection of the intramyocardial hematoma. This diagnosis could be manifested surgically and histologically.