J Cardiovasc Ultrasound.
2006 Sep;14(3):112-115.
A Case of Spontaneous Left Atrial Intramural Hematoma Causing Vaso-occlusive Cardiogenic Shock
- Affiliations
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- 1Department of Internal Medicine, Vision 21 Cardiac and Vascular Center of Ilsan Paik Hospital, Inje University College of Medicine, Korea. djh95@hanmail.net
- 2Department of Thoracic and Cardiovascular Surgery, Vision 21 Cardiac and Vascular Center of Ilsan Paik Hospital, Inje University College of Medicine, Korea.
- 3Department of Pathology, Center of Ilsan Paik Hospital, Goyang, Korea.
- 4Clinical Research Center of Ilsan Paik Hospital, Goyang, Korea.
Abstract
- Intramural hematoma of the cardiac muscle is a rare clinical condition. Only a few cases have been reported in the medicosurgical conditions related to post cardiac surgery, chest trauma and dissecting aneurysms of the aorta. Moreover, there are few cases of spontaneous left atrial intramural hematoma and they may occur in the medical conditions related to calcified mitral annulus dissection or amyloidosis. We experienced a case of spontaneous intramural left atrial hematoma in a 29 year-old male resulting in vaso-occlusive cardiogenic shock. We report the clinical manifestation and treatment of this case with a review of literatures.
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