title: The role of intravascular ultrasound guidance in the treatment of intramural hematoma probably caused by spontaneous coronary artery dissection in a young woman with acute anterior myocardial infarction.
abstract: Spontaneous coronary artery dissection (SCAD) is known to be a rare but fatal cause of acute coronary syndromes. It is more frequent in young women, particularly in the peripartum period. Intravascular ultrasound (IVUS) has an important role in the diagnosis and management of SCAD. Intramural hematoma that occurs between adventitial and media layer of the vessel wall may occlude the true lumen. IVUS can identify intimal tears, the extension of intramural hematoma and show the adequate compression of intramural hematoma after percutaneous coronary intervention. We present a case of intramural hematoma caused by SCAD in a young woman presenting with acute anterior myocardial infarction, and the role of IVUS in the diagnosis and management of SCAD.
authors.affiliation: Department of Cardiology, Gulhane Military Medical Academy, School of Medicine, Ankara, Turkey.
authors.forename: Atila
authors.initials: A
authors.lastname: Iyisoy
authors.forename: Murat
authors.initials: M
authors.lastname: Celik
authors.forename: Turgay
authors.initials: T
authors.lastname: Celik
authors.forename: Uygar Cagdas
authors.initials: UC
authors.lastname: Yuksel
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D000925:Anticoagulants / Q000627:therapeutic use; D002317:Cardiovascular Agents / Q000627:therapeutic use*; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000319:Adrenergic beta-Antagonists; D000925:Anticoagulants; D002317:Cardiovascular Agents; D010975:Platelet Aggregation Inhibitors