open access

Vol 19, No 5 (2012)
Case Reports
Published online: 2012-10-06
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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

Atila Iyisoy, Murat Celik, Turgay Celik, Uygar Cagdas Yuksel
DOI: 10.5603/CJ.2012.0098
·
Cardiol J 2012;19(5):532-535.

open access

Vol 19, No 5 (2012)
Case Reports
Published online: 2012-10-06

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. (Cardiol J 2012; 19, 5: 532-535)

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. (Cardiol J 2012; 19, 5: 532-535)
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Keywords

spontaneous coronary artery dissection; intramural hematoma; intravascular ultrasound; acute myocardial infarction

About this article
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

Journal

Cardiology Journal

Issue

Vol 19, No 5 (2012)

Pages

532-535

Published online

2012-10-06

DOI

10.5603/CJ.2012.0098

Bibliographic record

Cardiol J 2012;19(5):532-535.

Keywords

spontaneous coronary artery dissection
intramural hematoma
intravascular ultrasound
acute myocardial infarction

Authors

Atila Iyisoy
Murat Celik
Turgay Celik
Uygar Cagdas Yuksel

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