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Hypertension is the leading modifiable risk factor for global cardiovascular disease, responsible for an estimated 10.8 million deaths and more than 200 million disability-adjusted life years annually.1 Despite the availability of effective pharmacological and lifestyle interventions, prevalence continues to rise, particularly in low- and middle-income countries (LMICs), where over three-quarters of all cases now occur.2 The condition’s […]

A case of circumferential multi-vessel coronary intramural hematoma in a post-menopausal woman

Robin Ducas, Davinder S. Jassal, Farrukh Hussain
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Published Online: Aug 7th 2018 Heart International 2011;6(2):e10 DOI: https://doi.org/10.4081/hi.2011.e10
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Abstract

Overview

Spontaneous coronary dissections are a
well described entity which are often difficult
to treat. Intramural hematoma is one type of
coronary dissection. Previous case reports
have described the treatment for angiographically
visible dissection. We describe the first
report of diffuse intramural hematoma visualized
only on intravascular ultrasound with no
angiographically obvious evidence of dissection
treated with multivessel drug eluting
stenting. This case highlights the importance
of a high level of suspicion and atypical presentations
of coronary dissection, and the use
of multimodality imaging with intravascular
ultrasound and computerized tomography for
both diagnosis and therapy.

Keywords

PCI, IVUS, CT, intramural hematoma.

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Article Information

Correspondence

Farrukh Hussain, St. Boniface was performed 24 h General Hospital, University of Manitoba, Canada. Tel. +1.204.237-2023 – Fax: +1.204.233-2157. E-mail: fhussain@sbgh.mb.ca

Received

2011-05-10

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