Migrating type a intramural hematoma after repair of an anomalous right coronary artery aortocoronary dissection with a covered stent

Fang, Hsiu‐Yu; Wu, Chiung-Jen

doi:10.1002/ccd.23010

Cited by 5 publications

(1 citation statement)

References 8 publications

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“…We adopt a conservative approach after an integration of clinical and different imaging modalities. Other studies have reported similar clinical behaviour 4 12. However, the unpredictable natural history of IMH with the possibility to develop complications even some months after the acute episode, independently from haematoma imaging characteristics, makes long-term surveillance necessary 13 14.…”

Section: Discussionmentioning

confidence: 89%

Retrograde dissection during percutaneous coronary intervention: sealing of the entry site by covered stent implantation

Danzi

Campanile²,

Sozzi

et al. 2012

BMJ Case Reports

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SummaryWe present a case of iatrogenic aortic haematoma, developed during percutaneous coronary intervention, treated with covered stent implantation followed by a conservative approach characterised by the integration of both clinical and multimodal imaging information. This complication can lead to overt aortic dissection (28-47%), rupture (20-45%) or death (21%). In 10% of the cases it can completely regress. Guidelines for its treatment are debated because of the unpredictable natural history of intramural haematoma. Nowadays, a close follow-up with multimodal imaging is considered a valid strategy for the appropriate management of this severe condition. On the basis of the patient's clinical condition and the information obtained by multiple imaging tests (angiography, transthoracic and transesophageal echocardiography and multidetector CT scan) we decided to treat our patient with medical therapy. To date, a 1-year follow-up negative for cardiac events is recorded. BACKGROUND

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Section: Discussionmentioning

confidence: 89%

Retrograde dissection during percutaneous coronary intervention: sealing of the entry site by covered stent implantation

Danzi

Campanile²,

Sozzi

et al. 2012

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

Pathological migrating intramural hematoma in stenting for carotid artery dissection: A ten-year consecutive cohort study

Chen,

Hu,

Dong

et al. 2024

Clinical Neurology and Neurosurgery

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Percutaneous coronary intervention in patients with anomalous origin of coronary artery presenting with acute coronary syndrome: A case series

Karur

Patra

Shankarappa

et al. 2013

Journal of Cardiovascular Disease Research

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Coronary artery anomalies are found in 0.6%-1.5% of patients undergoing diagnostic coronary angiogram. Intervention in these patients poses a particular technical challenge secondary to the aberrancies in the vessel origin and course. From March 2011 to February 2013, 13 cases with complex coronary artery anomalies were observed among 2482 patients undergoing CAG (0.52%) at our cath lab. Only three patients had severe stenosis in the anomalous artery sufficient to require an intervention and had presented with myocardial infarction. PCI was performed successfully in these 3 patients two of which had anomalous left circumflex artery and the other having an anomalous right coronary artery.

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Migrating type a intramural hematoma after repair of an anomalous right coronary artery aortocoronary dissection with a covered stent

Cited by 5 publications

References 8 publications

Retrograde dissection during percutaneous coronary intervention: sealing of the entry site by covered stent implantation

Retrograde dissection during percutaneous coronary intervention: sealing of the entry site by covered stent implantation

Pathological migrating intramural hematoma in stenting for carotid artery dissection: A ten-year consecutive cohort study

Percutaneous coronary intervention in patients with anomalous origin of coronary artery presenting with acute coronary syndrome: A case series

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