From Thrombus to Intramyocardial Dissecting Hematoma: Myocardial Contrast Echocardiography Salvaging a Patient with a Rare Complication of Acute Myocardial Infarction

From Thrombus to Intramyocardial Dissecting Hematoma: Myocardial Contrast Echocardiography Salvaging a Patient with a Rare Complication of Acute Myocardial Infarction | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 17 February 2025 V1 Latest version Share on From Thrombus to Intramyocardial Dissecting Hematoma: Myocardial Contrast Echocardiography Salvaging a Patient with a Rare Complication of Acute Myocardial Infarction Authors : Xi Zeng 0009-0005-6872-6371 , Jing LI , Yafei HOU , and Xiaojing MA [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.173978179.95987549/v1 142 views 72 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract We present a rare case of conservatively managed intramyocardial dissecting hematoma (IDH) diagnosed by myocardial contrast echocardiography (MCE). The patient was admitted to CCU after emergency percutaneous coronary intervention for acute anterior wall myocardial infarction. Bedside MCE on postoperative day 2 revealed left ventricular apical thrombosis, prompting anticoagulation therapy. Subsequent bedside MCE one week later demonstrated IDH formation, leading to immediate secession of anticoagulants and initiation of blood pressure control. IDH resolution was observed on follow-up imaging after one month. This case highlights MCE as a reliable modality for early diagnosis and therapeutic guidance of IDH in critically ill populations. Supplementary Material File (main document-1.docx) Download 1.16 MB Information & Authors Information Version history V1 Version 1 17 February 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords acute myocardial infarction (ami) intramyocardial dissecting hematoma (idh) myocardial contrast echocardiography (mce) Authors Affiliations Xi Zeng 0009-0005-6872-6371 Wuhan University of Science and Technology School of Medicine View all articles by this author Jing LI Wuhan Asia General Hospital View all articles by this author Yafei HOU Wuhan Asia General Hospital View all articles by this author Xiaojing MA [email protected] Wuhan Asia Heart Hospital Affiliated to Wuhan University of Science and Technology View all articles by this author Metrics & Citations Metrics Article Usage 142 views 72 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Xi Zeng, Jing LI, Yafei HOU, et al. From Thrombus to Intramyocardial Dissecting Hematoma: Myocardial Contrast Echocardiography Salvaging a Patient with a Rare Complication of Acute Myocardial Infarction. Authorea . 17 February 2025. DOI: https://doi.org/10.22541/au.173978179.95987549/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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