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