Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 16, Number 2, February 2025, pages 55-60

“False” False Tendon: Fatal Intramyocardial Dissecting Hematoma

Figures

Figure 1.
Figure 1. Initial electrocardiogram showing ST elevation in the anterolateral leads.
Figure 2.
Figure 2. Electrocardiogram a few minutes after the initial showing junctional rhythm bradycardia with a rate of 27 and serial changes typical for progression of anterolateral infarct.
Figure 3.
Figure 3. Transthoracic echocardiogram in the four-chamber and two-chamber view without contrast showing hyperechoic mobile filamentous structure (red arrows) near the cardiac apex in the left ventricle. LV: left ventricle.
Figure 4.
Figure 4. Transthoracic echocardiogram in three-dimensional view without contrast showing hyperechoic mobile filamentous structure suggestive of IDH (red arrow) near the cardiac apex.
Figure 5.
Figure 5. Transthoracic echocardiogram in the four-chamber and two-chamber view with contrast suggestive of intramyocardial dissecting hematoma (red arrow). LV: left ventricle.
Figure 6.
Figure 6. Transthoracic echocardiogram in the parasternal short axis with contrast in the left ventricle suggestive of intramyocardial dissecting hematoma (red arrow). LV: left ventricle.

Table

Table 1. Literature Review on Diagnosis of Intramyocardial Dissecting Hematoma due to Trauma
 
Authors, yearType of studyCauseDiagnostic modalities
CCTA: cardiac computed tomography angiography; CMR: magnetic resonance imaging; MVA: motor vehicle accident; TEE: transesophageal echocardiography; TTE: transthoracic echocardiography.
Maselli et al, 1997 [12]Case reportTrauma (MVA)TTE, TEE, surgery
Silverstein et al, 2006 [13]Case reportTrauma (MVA)TTE, TEE, surgery
Alexandre et al, 2023 [14]Case reportTrauma (MVA)TTE, CCTA, CMR
Ksiazczyk et al, 2024 [15]Case reportTrauma (MVA)TTE, CCTA