Anomalous right coronary artery angioplasty complicated by intramural hematoma in the ascending aorta

Cardiovasc Revasc Med. 2005 Oct-Dec;6(4):170-3. doi: 10.1016/j.carrev.2005.10.004.

Abstract

An iatrogenic intramural hematoma (IMH) localized in the ascending aorta is a rare and potentially life-threatening complication following percutaneous coronary intervention (PCI). We describe the case of an ascending aortic IMH after the PCI of an anomalous right coronary artery. Early extension of the hematoma was observed during transesophageal echocardiography; the patient underwent successful surgical repair.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / injuries*
  • Aorta, Thoracic / surgery
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / etiology*
  • Aortic Diseases / surgery
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / therapy*
  • Echocardiography, Transesophageal
  • Female
  • Follow-Up Studies
  • Hematoma / diagnostic imaging
  • Hematoma / etiology*
  • Hematoma / surgery
  • Humans
  • Vascular Surgical Procedures