Luminal narrowing due to intramural hematoma shift from left anterior descending coronary artery to left circumflex artery.
This case report demonstrates subacute luminal narrowing 20 days after balloon angioplasty in the left anterior descending coronary artery due to an intramural hematoma. Stenting was performed and resulted in side-branch compromise caused by squeezing the hematoma from the left anterior descending coronary artery into the left circumflex artery. Another stent was deployed to treat the stenosis in the left circumflex artery.
Cardiovascular Research Foundation, Lenox Hill Heart and Vascular Institute, New York, New York, USA.
Makoto
M
Hirose
Yoshio
Y
Kobayashi
Edward M
EM
Kreps
Gregg W
GW
Stone
Issam
I
Moussa
Martin B
MB
Leon
Jeffrey W
JW
Moses
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000473:pathology / Q000628:therapy*; D023903:Coronary Restenosis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000209:etiology; D006801:Humans; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional