Intramyocardial Dissection following Postinfarction XXXX Contained by Surrounding Postoperative Adhesions.

@entity1 @entity662 @entity1455 @entity7086 @entity9009 @entity548 @entity2294 @entity397 @entity583 @entity204
Introduction. Dissection of the myocardium is a rare form of @entity7086 , caused by a hemorrhagic dissection among the spiral myocardial fibers, its diagnosis is rarely established before the operation or @entity204 , and extremely few cases have been reported in the literature and none of these cases seem to have a history of previous cardiac surgery which makes our report unique. Case Presentation. A 61-year-old female @entity1 was admitted into the emergency room with complaints of progressive @entity662 for 2 days. She had a history of second time prosthetic aortic valve replacement and was under anticoagulation therapy. She was diagnosed with an acute inferoposterior @entity583 and underwent emergency coronary angiography revealing spontaneous recanalization of the right coronary artery. During the follow-up, she developed @entity1455 and a new occurring systolic ejection murmur. Transthoracic echocardiography showed a left ventricular free wall @entity397 ; then, she was taken in for emergency surgery. During the operation, a @entity397 zone and a wide intramyocardial dissecting area were detected. Intraventricular patch repair technic with autologous pericardial patch was used to exclude the @entity397 . Following the warming period, despite adequate hemostasis, @entity548 around suture lines progressively increased, leading to the @entity1 's @entity204 . Conclusion. @entity2294 might contain left @entity9009 leading to intramyocardial dissection.
