Cardiac Computed Tomography to Identify and Guide Therapy of Intramural Hemorrhage in High-Risk Coronary Anatomy

Coronary intramural hematoma can present with acute coronary syndrome. We present a 39-year-old man with post-assault stress-induced left main intramural hematoma. We used computed tomography coronary angiogram with lesion characterization and suspected the diagnosis of intramural hematoma despite i...

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Detalles Bibliográficos
Autores principales: Jatti, Kumar, Maurovich-Horvat, Pal, Hasleton, Jonathan, Uddin, Muezz, Ruzsics, Balazs
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Imaging
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8305674/
https://www.ncbi.nlm.nih.gov/pubmed/34317483
http://dx.doi.org/10.1016/j.jaccas.2020.11.014
Descripción
Sumario:Coronary intramural hematoma can present with acute coronary syndrome. We present a 39-year-old man with post-assault stress-induced left main intramural hematoma. We used computed tomography coronary angiogram with lesion characterization and suspected the diagnosis of intramural hematoma despite its limited spatial resolution; computed tomography was used for follow-up imaging and proper monitoring of therapeutic measures. (Level of Difficulty: Advanced.)

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