Subepicardial hematoma after percutaneous coronary intervention

Borracci, Raúl A.; Ayala, Natalia; Renes, Paola; Allende, Norberto G.

doi:10.1016/j.circir.2016.08.007

Cited by 2 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In clinical and forensic practice, though sudden death involving MAC with valve stenosis has been reported, [ 2 , 5 ] sudden cardiac death associated with MAC occurring during dialysis has not been extensively studied at autopsy. Subepicardial hematoma, usually as a result of coronary perforation, after or during percutaneous coronary intervention is uncommon, [ 6 , 7 ] spontaneous subepicardial hematoma due to rupture of the subepicardial vein is even rare. Here, we report a case of severe MAC with cardiomegaly, end-stage renal disease (ESRD) and subepicardial hematoma, occurring in a 65-year-old woman who presented as an unexpected sudden death during hemodialysis.…”

Section: Introductionmentioning

confidence: 99%

Sudden death in a patient with severe mitral annular calcification and end-stage renal disease during hemodialysis

et al. 2018

View full text Add to dashboard Cite

Rationale:Mitral annular calcification (MAC) is a chronic, degenerative cardiac condition. Although MAC is often considered as an incidental finding in clinical and forensic practice, sudden death due to severe MAC with end-stage renal disease (ESRD) during hemodialysis is uncommon. In addition, spontaneous subepicardial hematoma due to rupture of the subepicardial vein is very rare.Patient concerns:A 65-year-old woman had a history of hypertension, diabetes mellitus, and renal failure.Diagnoses:Postmortem examination revealed marked MAC with cardiomegaly and ESRD. Spontaneous subepicardial hematoma due to disruption of subepicardial vein was also seen.Interventions and outcomes:The patient became short of breath while on hemodialysis and expired en route to the hospital.Lessons:In this case, death was attributed to the effects of the calcified mitral valve annulus. This case highlights that MAC must be considered in any patient with ESRD and fatal cardiovascular events should not be overlooked in these patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Sudden death in a patient with severe mitral annular calcification and end-stage renal disease during hemodialysis

et al. 2018

View full text Add to dashboard Cite

show abstract

Two rare complications of myocardial infarction: a case report

Mahmoud

Mehra

2019

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background Mechanical complications following myocardial infarction (MI) have decreased in incidence due to the widespread use of early percutaneous coronary revascularization methods. We describe two rare complications as well as their natural history and uncertainties of the ideal management approach. Case summary Sixty-two-year-old female with multiple cardiovascular disease risk factors who had a delayed presentation of ST-segment elevation myocardial infarction and went on to develop dissecting intramyocardial haematoma progressing to ventricular septal rupture and coronary ventricular fistula. Discussion Intramyocardial haematoma is a rare complication of MI. It is considered to be part of the continuum of myocardial rupture which our patient eventually developed in the form of ventricular septal defect. The second rare entity in the same patient was development of a coronary ventricular fistula of the infarct-related stented, artery. The best way of managing dissecting intramyocardial haematoma is unclear with conflicting data between conservative and invasive strategies. Our patient failed the conservative approach as she progressed to frank myocardial rupture.

show abstract

Subepicardial hematoma after percutaneous coronary intervention

Abstract: Subepicardial or intramyocardial hematoma must be considered when a coronary perforation is suspected in absence of hemopericardium. Transthoracic echocardiogram or computed tomography may be used to decide a conservative or invasive approach.

Cited by 2 publications

References 3 publications

Sudden death in a patient with severe mitral annular calcification and end-stage renal disease during hemodialysis

Sudden death in a patient with severe mitral annular calcification and end-stage renal disease during hemodialysis

Two rare complications of myocardial infarction: a case report

Contact Info

Product

Resources

About