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KMID : 0368120100400110596
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Korean Circulation Journal
2010 Volume.40 No. 11 p.596 ~ p.600
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A Case of Intra- and Extra-Mural Hematomas During Recanalization for Chronic Total Occlusion
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Kang Sun-Young
Hur Seung-Ho
Choi Hyun-Chul
Kim Gyu-Soo
Cho Yun-Kyeong
Han Chun-Duk
Park Hyoung-Seob
Yoon Hyuck-Jun
Kim Hyung-Seop
Nam Chang-Wook
Kim Yoon-Nyun
Kim Kwon-Bae
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Abstract
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An intramural hematoma is an accumulation of blood between the internal and external elastic membranes within the medial space, whereas an extramural hematoma is a dilution and/or dissemination of blood throughout the adventitia. Intra- and extra-hematomas are observed by intravascular ultrasound during percutaneous coronary intervention (PCI). The patient described herein presented with angina pectoris. Her coronary angiogram showed diffuse narrowing of the mid-left anterior descending artery and total occlusion of the distal right coronary artery (RCA). Intra- and extra-mural hematomas developed during PCI of the RCA; however, the lesions were covered successfully using long drug-eluting stents.
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KEYWORD
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Hematoma, Ultrasonography, interventional
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