{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T03:46:25Z","timestamp":1794368785959,"version":"4.9.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Intramyocardial dissection (ID) is an extremely rare myocardial infarction mechanical complication. Although both clinical and imaging assessment of this rare condition remains a challenge, recent multimodality imaging techniques may help to confirm and to assess the progressive nature of the disease. Diagnosis may be reached in different stages, from as early as the intramyocardial dissecting haematoma to the severe false-pseudoaneurysm.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>This series describes five cases of ID and provides insights into imaging findings and clinical course of this extremely uncommon condition. Our patients represented a wide range of clinical stages, from asymptomatic course to cardiogenic shock. The imaging diagnostic approach was very different from case to case and involved techniques such as echocardiography, cardiac CT, and cardiac magnetic resonance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Intramyocardial dissection is a challenging condition in terms of diagnosis and clinical management associated with high morbidity and mortality. Furthermore, the different nomenclature found in the literature may be confusing. This case series supports the need of a terminology standardization and a multimodal imaging approach, which might be determinant for an accurate differential diagnosis and a suitable therapeutic management.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae219","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T16:25:38Z","timestamp":1715099138000},"source":"Crossref","is-referenced-by-count":4,"title":["Role of multimodality cardiac imaging for evaluation of intramyocardial dissection, from dissecting haematoma to false-pseudoaneurysm: a case series"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2998-7147","authenticated-orcid":false,"given":"Irene","family":"Carri\u00f3n-S\u00e1nchez","sequence":"first","affiliation":[{"name":"Cardiology Department, Cardiovascular Institute, Hospital Universitario Cl\u00ednico San Carlos , Calle del Prof Mart\u00edn Lagos, S\/N, Moncloa - Aravaca, 28040 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Tejada-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Universitario Principe de Asturias , Alcal\u00e1 de Henares , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"G\u00f3mez-Delgado","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Universitario Principe de Asturias , Alcal\u00e1 de Henares , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocio","family":"P\u00e1rraga","sequence":"additional","affiliation":[{"name":"Cardiology Department, Cardiovascular Institute, Hospital Universitario Cl\u00ednico San Carlos , Calle del Prof Mart\u00edn Lagos, S\/N, Moncloa - Aravaca, 28040 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Cobiella","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Department, Cardiovascular Institute, Hospital Universitario Cl\u00ednico San Carlos , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Alberto","family":"de Agust\u00edn","sequence":"additional","affiliation":[{"name":"Cardiology Department, Cardiovascular Institute, Hospital Universitario Cl\u00ednico San Carlos , Calle del Prof Mart\u00edn Lagos, S\/N, Moncloa - Aravaca, 28040 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0362-6020","authenticated-orcid":false,"given":"Eduardo","family":"Pozo-Osinalde","sequence":"additional","affiliation":[{"name":"Cardiology Department, Cardiovascular Institute, Hospital Universitario Cl\u00ednico San Carlos , Calle del Prof Mart\u00edn Lagos, S\/N, Moncloa - Aravaca, 28040 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Garc\u00eda-Lled\u00f3","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Universitario Principe de Asturias , Alcal\u00e1 de Henares , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"2024051503414940400_ytae219-B1","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1111\/echo.13796","article-title":"Intramyocardial dissecting hematoma: two case reports and a meta-analysis of the literature","volume":"35","author":"Leitman","year":"2018","journal-title":"Echocardiography"},{"key":"2024051503414940400_ytae219-B2","doi-asserted-by":"crossref","first-page":"2160","DOI":"10.1111\/echo.14843","article-title":"Left ventricular intra-myocardial dissection after myocardial infarction","volume":"37","author":"Rezaei-Kalantari","year":"2020","journal-title":"Echocardiography"},{"key":"2024051503414940400_ytae219-B3","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1111\/j.1540-8175.2007.00574.x","article-title":"Intramyocardial dissection after subacute anterior wall myocardial infarction: an unusual form of myocardial rupture with subsequent spontaneous healing","volume":"25","author":"Sari","year":"2008","journal-title":"Echocardiography"},{"key":"2024051503414940400_ytae219-B4","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1111\/j.1540-8175.2008.00804.x","article-title":"Dissecting intramyocardial hematoma: clinical presentation, pathophysiology, outcomes and delineation by echocardiography","volume":"26","author":"Vargas-Barron","year":"2009","journal-title":"Echocardiography"},{"key":"2024051503414940400_ytae219-B5","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1111\/echo.13198","article-title":"Intramyocardial dissecting hematoma after acute myocardial infarction-echocardiographic features and clinical outcome","volume":"33","author":"Zhao","year":"2016","journal-title":"Echocardiography"},{"key":"2024051503414940400_ytae219-B6","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1023\/A:1011477132227","article-title":"The endoventricular circular patch plasty (\u201cDor procedure\u201d) in ischemic akinetic dilated ventricles","volume":"6","author":"Dor","year":"2001","journal-title":"Heart Fail Rev"},{"key":"2024051503414940400_ytae219-B7","first-page":"147","article-title":"Left ventricular pseudo-pseudoaneurysm","volume":"68","author":"Garcia-Lledo","year":"2015","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"2024051503414940400_ytae219-B8","doi-asserted-by":"crossref","first-page":"1317 e1311","DOI":"10.1016\/j.echo.2007.03.005","article-title":"Pseudo-pseudoaneurysm: a rare and unexplored mechanical complication of myocardial infarction","volume":"20","author":"Gollol-Raju","year":"2007","journal-title":"J Am Soc Echocardiogr"},{"key":"2024051503414940400_ytae219-B9","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1016\/j.jcmg.2014.05.009","article-title":"Value of CMR for the differential diagnosis of cardiac masses","volume":"7","author":"Pazos-Lopez","year":"2014","journal-title":"JACC Cardiovasc Imaging"},{"key":"2024051503414940400_ytae219-B10","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC guidelines for the management of acute coronary syndromes","volume":"44","author":"Byrne","year":"2023","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - 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