Intramural coronary hematoma, a complex three-dimensional entity: Multimodality assessment.
A 62-year-old woman was admitted with chest pain of two hours' duration, ECG changes in the precordial leads and left ventricular ejection fraction of 30% on the echocardiogram. Emergent catheterization demonstrated severe flow disturbance in the left coronary artery. An intra-aortic balloon pump and a drug-eluting stent were implanted. However, the flow disturbance persisted. Optical coherence tomography followed by intravascular ultrasound provided crucial data on the mechanism and helped to optimize treatment in this critical patient.
Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain. Electronic address: ibnsky@yahoo.es.
Iván J
IJ
Núñez-Gil
Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain.
Mauro
M
Echavarría-Pinto
Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain.
Gisela
G
Feltes
Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain.
Antonio
A
Fernández-Ortiz
D003324:Coronary Artery Disease / Q000000981:diagnostic imaging*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D064847:Multimodal Imaging
Acute coronary syndrome; Coronary dissection; Disseção coronária; Intravascular ultrasound; Optical coherence tomography; Síndrome coronária aguda; Three-dimensional optical coherence tomography; Tomografia de coerência ótica; Tomografia de coerência ótica 3-D; Ultrassonografia intravascular