title: Iatrogenic aortic haematoma during primary PTCA: diagnostic value of transesophageal echocardiography in cath lab.
abstract: 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.
authors.affiliation: Department of Cardiology, S. Maria di Loreto Hospital, Viale dei Pini 4, 80055 Portici (NA), Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Minicucci
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Galizia
authors.forename: Luigi
authors.initials: L
authors.lastname: Ascione
authors.forename: Gianluca
authors.initials: G
authors.lastname: Granata
authors.forename: Anna
authors.initials: A
authors.lastname: Scaglione
authors.forename: Maria
authors.initials: M
authors.lastname: Accadia
authors.forename: Salvatore
authors.initials: S
authors.lastname: Rumolo
authors.forename: Bernardino
authors.initials: B
authors.lastname: Tuccillo
mesh_terms: 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