Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection

Yasushi Ueki, MD; Lorenz Räber, MD, PhD; Raminta Kavaliauskaite, MD; Tatsuhiko Otsuka, MD; George C.M. Siontis, MD, PhD

JACC: Case Reports (May 2020)

Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection

Yasushi Ueki, MD,
Lorenz Räber, MD, PhD,
Raminta Kavaliauskaite, MD,
Tatsuhiko Otsuka, MD,
George C.M. Siontis, MD, PhD

Affiliations

Yasushi Ueki, MD: Department of Cardiology, Bern University Hospital, Bern, Switzerland
Lorenz Räber, MD, PhD: Department of Cardiology, Bern University Hospital, Bern, Switzerland
Raminta Kavaliauskaite, MD: Department of Cardiology, Bern University Hospital, Bern, Switzerland
Tatsuhiko Otsuka, MD: Department of Cardiology, Bern University Hospital, Bern, Switzerland
George C.M. Siontis, MD, PhD: Address for correspondence: Dr. George C.M. Siontis, Department of Cardiology, Bern University Hospital, 3010 Bern, Switzerland.; Department of Cardiology, Bern University Hospital, Bern, Switzerland

Journal volume & issue: Vol. 2, no. 5
pp. 707 – 708

Abstract

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A 54-year-old man developed ST-segment elevation myocardial infarction 1 week after percutaneous coronary intervention of the left anterior descending artery. Optical coherence tomography at the emergent percutaneous coronary intervention revealed an intramural hematoma extending from the in-stent dissection. We highlight that in-stent dissection, although generally considered a benign finding, can extend and cause intramural hematoma, resulting in coronary artery occlusion. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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