Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection
A 54-year-old man developed ST-segment elevation myocardial infarction 1 week after percutaneous coronary intervention of the left anterior descending artery. Optical coherence tomography at the emergent percutaneous coronary intervention revealed an intramural hematoma extending from the in-stent d...
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doaj-3f16a92b647b4eb3b85a5682f00092782021-06-07T06:55:51ZengElsevierJACC: Case Reports2666-08492020-05-0125707708Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent DissectionYasushi Ueki, MD0Lorenz Räber, MD, PhD1Raminta Kavaliauskaite, MD2Tatsuhiko Otsuka, MD3George C.M. Siontis, MD, PhD4Department of Cardiology, Bern University Hospital, Bern, SwitzerlandDepartment of Cardiology, Bern University Hospital, Bern, SwitzerlandDepartment of Cardiology, Bern University Hospital, Bern, SwitzerlandDepartment of Cardiology, Bern University Hospital, Bern, SwitzerlandAddress for correspondence: Dr. George C.M. Siontis, Department of Cardiology, Bern University Hospital, 3010 Bern, Switzerland.; Department of Cardiology, Bern University Hospital, Bern, SwitzerlandA 54-year-old man developed ST-segment elevation myocardial infarction 1 week after percutaneous coronary intervention of the left anterior descending artery. Optical coherence tomography at the emergent percutaneous coronary intervention revealed an intramural hematoma extending from the in-stent dissection. We highlight that in-stent dissection, although generally considered a benign finding, can extend and cause intramural hematoma, resulting in coronary artery occlusion. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084920303272acute myocardial infarctiondissectionintramural hematomaoptical coherence tomographypercutaneous coronary intervention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yasushi Ueki, MD Lorenz Räber, MD, PhD Raminta Kavaliauskaite, MD Tatsuhiko Otsuka, MD George C.M. Siontis, MD, PhD |
spellingShingle |
Yasushi Ueki, MD Lorenz Räber, MD, PhD Raminta Kavaliauskaite, MD Tatsuhiko Otsuka, MD George C.M. Siontis, MD, PhD Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection JACC: Case Reports acute myocardial infarction dissection intramural hematoma optical coherence tomography percutaneous coronary intervention |
author_facet |
Yasushi Ueki, MD Lorenz Räber, MD, PhD Raminta Kavaliauskaite, MD Tatsuhiko Otsuka, MD George C.M. Siontis, MD, PhD |
author_sort |
Yasushi Ueki, MD |
title |
Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection |
title_short |
Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection |
title_full |
Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection |
title_fullStr |
Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection |
title_full_unstemmed |
Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection |
title_sort |
coronary artery occlusion caused by intramural hematoma due to in-stent dissection |
publisher |
Elsevier |
series |
JACC: Case Reports |
issn |
2666-0849 |
publishDate |
2020-05-01 |
description |
A 54-year-old man developed ST-segment elevation myocardial infarction 1 week after percutaneous coronary intervention of the left anterior descending artery. Optical coherence tomography at the emergent percutaneous coronary intervention revealed an intramural hematoma extending from the in-stent dissection. We highlight that in-stent dissection, although generally considered a benign finding, can extend and cause intramural hematoma, resulting in coronary artery occlusion. (Level of Difficulty: Intermediate.) |
topic |
acute myocardial infarction dissection intramural hematoma optical coherence tomography percutaneous coronary intervention |
url |
http://www.sciencedirect.com/science/article/pii/S2666084920303272 |
work_keys_str_mv |
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