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

Published Online: August 7th 2018 Heart International 2011;6(2):e10
Authors: Robin Ducas, Davinder S. Jassal, Farrukh Hussain
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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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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

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2011-05-10T00:00:00

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