Anomalous right coronary artery angioplasty complicated by intramural hematoma in the ascending aorta.
An iatrogenic intramural hematoma (IMH) localized in the ascending aorta is a rare and potentially life-threatening complication following percutaneous coronary intervention (PCI). We describe the case of an ascending aortic IMH after the PCI of an anomalous right coronary artery. Early extension of the hematoma was observed during transesophageal echocardiography; the patient underwent successful surgical repair.
Lee
Geoff
G
Royal Melbourne Hospital, Victoria, Australia.
Yan
Bryan P Y
BP
Ahmar
Walid
W
Shetty
Sharad
S
Ajani
Andrew E
AE
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000628:therapy*; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D014656:Vascular Surgical Procedures