Chest Pain and the Dynamic Evolution of Spontaneous Coronary Artery Hematoma

Spontaneous coronary intramural hematoma (SCIH) is a rare but underdiagnosed condition, with dynamic evolution. We present a patient with acute chest pain and normal coronary angiogram undergoing work-up for myocardial infarction with nonobstructive coronary arteries. Cardiac magnetic resonance reve...

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Detalles Bibliográficos
Autores principales: Franzino, Marco, Costa, Francesco, De Ferrari, Tommaso, Vizzari, Giampiero, Andò, Giuseppe, Ceresa, Fabrizio, Patanè, Francesco, Di Bella, Gianluca, Micari, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871221/
https://www.ncbi.nlm.nih.gov/pubmed/36704054
http://dx.doi.org/10.1016/j.jaccas.2022.09.031
Descripción
Sumario:Spontaneous coronary intramural hematoma (SCIH) is a rare but underdiagnosed condition, with dynamic evolution. We present a patient with acute chest pain and normal coronary angiogram undergoing work-up for myocardial infarction with nonobstructive coronary arteries. Cardiac magnetic resonance revealed an ischemic pattern, and subsequent angiography revealed coronary occlusion by SCIH. (Level of Difficulty: Intermediate.)

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