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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

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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1

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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