Anterior wall myocardial infarction in a young man caused by spontaneous dissection and hematoma of coronary artery.

Q2 Medicine

Interventional Medicine and Applied Science Pub Date : 2019-06-01 DOI:10.1556/1646.10.2018.27

Tomasz Bochenek, Michał Lelek, Katarzyna Mizia-Stec

{"title":"Anterior wall myocardial infarction in a young man caused by spontaneous dissection and hematoma of coronary artery.","authors":"Tomasz Bochenek, Michał Lelek, Katarzyna Mizia-Stec","doi":"10.1556/1646.10.2018.27","DOIUrl":null,"url":null,"abstract":"<p><p>A 55-year-old man without any cardiac history has been admitted to Ist Department of Cardiology due to anterior wall infarction. In echocardiography (ECG), local anterior wall dysfunction has been observed, with good left ventricle ejection fraction. In angiography performed immediately after transfer to hospital, long lesion in left anterior descending coronary artery has been visualized with high angiographic suspicion of dissection and intramural coronary hematoma. Intravascular ultrasound (IVUS) has been performed and further confirmed the diagnosis of hematoma - LAD was stented using three coronary stents. IVUS has confirmed good position of stents. Integrillin has been used. Periprocedural time was uncomplicated. ECG showed resolution of myocardial infarction pattern and evolution of infarction has been observed. The patient was discharged home in good clinical condition. Coronary dissection and coronary hematoma are the potential cause of infarction and IVUS, despite optical coherence tomography being reference nowadays, is still a very valuable tool in diagnosis and treatment guiding in such cases.</p>","PeriodicalId":45181,"journal":{"name":"Interventional Medicine and Applied Science","volume":"11 2","pages":"125-127"},"PeriodicalIF":0.0000,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1556/1646.10.2018.27","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Interventional Medicine and Applied Science","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1556/1646.10.2018.27","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 1

Abstract

A 55-year-old man without any cardiac history has been admitted to Ist Department of Cardiology due to anterior wall infarction. In echocardiography (ECG), local anterior wall dysfunction has been observed, with good left ventricle ejection fraction. In angiography performed immediately after transfer to hospital, long lesion in left anterior descending coronary artery has been visualized with high angiographic suspicion of dissection and intramural coronary hematoma. Intravascular ultrasound (IVUS) has been performed and further confirmed the diagnosis of hematoma - LAD was stented using three coronary stents. IVUS has confirmed good position of stents. Integrillin has been used. Periprocedural time was uncomplicated. ECG showed resolution of myocardial infarction pattern and evolution of infarction has been observed. The patient was discharged home in good clinical condition. Coronary dissection and coronary hematoma are the potential cause of infarction and IVUS, despite optical coherence tomography being reference nowadays, is still a very valuable tool in diagnosis and treatment guiding in such cases.

Abstract Image

查看原文本刊更多论文

青年人自发性冠状动脉剥离及血肿所致前壁心肌梗死一例。

一名55岁男性，无心脏病史，因前壁梗死住进心内科。超声心动图(ECG)显示局部前壁功能障碍，左心室射血分数良好。在转院后立即进行的血管造影中，可见左冠状动脉前降支长病变，血管造影高度怀疑为剥离和壁内冠状动脉血肿。血管内超声(IVUS)进一步证实血肿的诊断- LAD使用三个冠状动脉支架。IVUS确认支架位置良好。已经使用了整联青霉素。围手术期时间不复杂。心电图显示心肌梗死类型消退，并观察梗死的演变。病人出院时临床情况良好。冠状动脉夹层和冠状动脉血肿是梗死的潜在原因，尽管目前参考的是光学相干断层扫描，但IVUS在这类病例的诊断和治疗指导中仍然是非常有价值的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊