Spontaneous coronary hematoma during systemic thrombolysis for acute myocardial infarction: intracoronary ultrasound findings, percutaneous coronary intervention and complications.
A case of coronary dissection with large parietal hematoma, involving the proximal left anterior descending and the left main coronary arteries after systemic thrombolysis for acute anterior myocardial infarction is described. The peculiar intravascular ultrasound features, therapy options, complications after stenting and follow-up are described.
Baglini
R
R
Unit of Interventional Cardiology, The Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT) Palermo, Italy. rbaglini@ismett.edu
Mezzapelle
G
G
Baldari
D
D
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods; D001241:Aspirin / Q000627:therapeutic use; D000077144:Clopidogrel; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D004359:Drug Therapy, Combination; D005260:Female; D006406:Hematoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015912:Thrombolytic Therapy / Q000009:adverse effects / Q000379:methods; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin