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Year : 2023  |  Volume : 7  |  Issue : 2  |  Page : 185-188

Communicating Neo-chamber in the Left Ventricle and a Remote Intramyocardial Hematoma Following Acute Myocardial Infarction

Department of Cardiology, Institute of Heart and Vascular Diseases, Jaipur Golden Hospital, New Delhi, India

Correspondence Address:
Jagdish Chander Mohan
A-51, Hauz Khas, New Delhi - 110 016
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiae.jiae_4_23

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This report describes a 68-year-old female who, immediately after the primary percutaneous coronary intervention of the left anterior descending artery for acute anterior myocardial infarction, developed an apical aneurysm and a “neo-chamber” within the left ventricular cavity separated from the main cavity by a linear thick hyperechoic free-floating fenestrated membrane. This was an excoriated but perforated subendocardial spiral myocardial layer separated from the subepicardial layer due to ischemia and infarction. Multiple orifices on the inner surface were observed, possibly due to patchy necrosis. In addition, there was a large remote intramyocardial hematoma in the inferolateral wall of indeterminate pathogenesis.

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