A Case of Intra- and Extra-Mural Hematomas During Recanalization for Chronic Total Occlusion.
10.4070/kcj.2010.40.11.596
- Author:
Sun Young KANG
1
;
Seung Ho HUR
;
Hyun Chul CHOI
;
Gyu Soo KIM
;
Yun Kyeong CHO
;
Chun Duk HAN
;
Hyoung Seob PARK
;
Hyuck Jun YOON
;
Hyungseop KIM
;
Chang Wook NAM
;
Yoon Nyun KIM
;
Kwon Bae KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea. shur@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Hematoma;
Ultrasonography, interventional
- MeSH:
Adventitia;
Angina Pectoris;
Arteries;
Coronary Vessels;
Drug-Eluting Stents;
Hematoma;
Humans;
Membranes;
Percutaneous Coronary Intervention;
Ultrasonography, Interventional
- From:Korean Circulation Journal
2010;40(11):596-600
- CountryRepublic of Korea
- Language:English
-
Abstract:
An intramural hematoma is an accumulation of blood between the internal and external elastic membranes within the medial space, whereas an extramural hematoma is a dilution and/or dissemination of blood throughout the adventitia. Intra- and extra-hematomas are observed by intravascular ultrasound during percutaneous coronary intervention (PCI). The patient described herein presented with angina pectoris. Her coronary angiogram showed diffuse narrowing of the mid-left anterior descending artery and total occlusion of the distal right coronary artery (RCA). Intra- and extra-mural hematomas developed during PCI of the RCA; however, the lesions were covered successfully using long drug-eluting stents.
