{"title":"Intraventricular Dissecting Hematoma Diagnosed and Followed up by Multimodality Imaging: A Case Report.","authors":"Tatsuya Nishikawa, Masaya Suzuki, Masayuki Tsukuda, Tomoyuki Tomikawa, Hibiki Kadohara, Motohiro Shingu, Akeo Hirai, Kenta Ishibashi, Mana Hiraishi, Toshinori Kajitani, Mitsuo Kinugasa, Yasutaka Hirayama, Koichi Tamita","doi":"10.2169/internalmedicine.5104-24","DOIUrl":null,"url":null,"abstract":"<p><p>Intraventricular dissecting hematomas are rare and difficult to identify. We herein report the successful assessment, treatment, and follow-up of this condition using multimodality imaging. A 73-year-old man was hospitalized because of acute heart failure. The patient had a recent myocardial infarction in the left anterior descending artery. Echocardiography could not initially detect any obvious abnormalities, and anteroseptal wall thickness appeared to be preserved. However, cardiac CT and magnetic resonance imaging (MRI) revealed an intraventricular dissecting hematoma of the anteroseptal wall of the left ventricle with an impending rupture. The patient was successfully treated conservatively using medication. Cardiac CT and MRI were considered to be useful in the diagnosis and follow-up of hematoma.</p>","PeriodicalId":520650,"journal":{"name":"Internal medicine (Tokyo, Japan)","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internal medicine (Tokyo, Japan)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2169/internalmedicine.5104-24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Intraventricular dissecting hematomas are rare and difficult to identify. We herein report the successful assessment, treatment, and follow-up of this condition using multimodality imaging. A 73-year-old man was hospitalized because of acute heart failure. The patient had a recent myocardial infarction in the left anterior descending artery. Echocardiography could not initially detect any obvious abnormalities, and anteroseptal wall thickness appeared to be preserved. However, cardiac CT and magnetic resonance imaging (MRI) revealed an intraventricular dissecting hematoma of the anteroseptal wall of the left ventricle with an impending rupture. The patient was successfully treated conservatively using medication. Cardiac CT and MRI were considered to be useful in the diagnosis and follow-up of hematoma.
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