title: Intramyocardial hematoma with epicardial rupture following percutaneous coronary intervention.
abstract: Intramyocardial (or subepicardial) hematomas are uncommon conditions that occur mostly after myocardial infarction, percutaneous coronary intervention (PCI), coronary artery bypass surgery, cardiac surgery, or chest trauma. Coronary perforation is a rare complication of PCI and the subset of patients developing an intramyocardial hematoma, usually considered a catastrophic event, is even rarer. We describe here the case of 63-year-old man in whom an intramyocardial hematoma with epicardial rupture occurred after PCI. The patient was treated conservatively with a successful outcome.
authors.affiliation: Department of Cardiology, Acibadem Hospital, Eskisehir, Turkey.
authors.forename: Cagatay
authors.initials: C
authors.lastname: Ertan
authors.forename: Ozcan
authors.initials: O
authors.lastname: Ozeke
authors.forename: Ahmet Duran
authors.initials: AD
authors.lastname: Demir
mesh_terms: D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D010496:Pericardium / Q000000981:diagnostic imaging / Q000293:injuries*; D012421:Rupture / Q000150:complications / Q000000981:diagnostic imaging