Iatrogenic aortic haematoma during primary PTCA: diagnostic value of transesophageal echocardiography in cath lab.
A 60-year-old woman with severe chest pain and ECG diagnostic for acute transmural ischemia was transferred to cath lab for primary PTCA. After procedure, transesophageal echocardiography (TEE) views revealed an intramural haematoma extending from the ostium of the RCA throughout the sino-tubular junction. These findings and the stable clinical conditions of patient guided us to a conservative therapeutic approach. A TEE study, performed 5 days after admission, showed a complete resolution of intramural haematoma. A waiting strategy can be a valid therapeutic option in selected patients with iatrogenic haematoma and TEE is a useful diagnostic tool for clinical decision making.
Minicucci
Fabio
F
Department of Cardiology, S. Maria di Loreto Hospital, Viale dei Pini 4, 80055 Portici (NA), Italy.
Galizia
Gianluigi
G
Ascione
Luigi
L
Granata
Gianluca
G
Scaglione
Anna
A
Accadia
Maria
M
Rumolo
Salvatore
S
Tuccillo
Bernardino
B
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001018:Aortic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D017548:Echocardiography, Transesophageal; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy