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JACC Case Rep. 2021 Jan 20;3(1):120-124. doi: 10.1016/j.jaccas.2020.11.014. eCollection 2021 Jan.

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

JACC. Case reports

Kumar Jatti, Pal Maurovich-Horvat, Jonathan Hasleton, Muezz Uddin, Balazs Ruzsics

Affiliations

  1. Department of Cardiology, Royal Liverpool University Hospitals National Health Service Foundation Trust Royal Liverpool University Hospital, Liverpool, United Kingdom.
  2. Medical Imaging Centre, Semmelweis University, Budapest, Hungary.
  3. Department of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.

PMID: 34317483 PMCID: PMC8305674 DOI: 10.1016/j.jaccas.2020.11.014

Abstract

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. (

Crown Copyright © 2021 Published by Elsevier on behalf of the American College of Cardiology Foundation.

Keywords: ACS, acute coronary syndrome; CT, computed tomography; CTCA, CT coronary angiogram; IMH, intramural hemorrhage; IVUS, intravascular ultrasound; LM, left main; MDT, multidisciplinary team meeting; PCI, percutaneous coronary intervention; SCAD, spontaneous coronary artery dissection; acute coronary syndrome; computed tomography coronary angiography; coronary intramural hematoma

Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

References

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