Iatrogenic aortic haematoma during primary PTCA: Diagnostic value of transesophageal echocardiography in cath lab

Fabio Minicucci, Gianluigi Galizia, Luigi Ascione, Gianluca Granata, Anna Scaglione, Maria Accadia, Salvatore Rumolo, Bernardino Tuccillo

Research output: Contribution to journalArticlepeer-review

Abstract

A 60-year-old woman with severe chest pain and ECG diagnostic for acute transmural ischemia was transferred to cath lab for primary PTCA. After procedure, transesophageal echocardiography (TEE) views revealed an intramural haematoma extending from the ostium of the RCA throughout the sino-tubular junction. These findings and the stable clinical conditions of patient guided us to a conservative therapeutic approach. A TEE study, performed 5 days after admission, showed a complete resolution of intramural haematoma. A waiting strategy can be a valid therapeutic option in selected patients with iatrogenic haematoma and TEE is a useful diagnostic tool for clinical decision making.

Original languageEnglish
Pages (from-to)390-393
Number of pages4
JournalEuropean Journal of Echocardiography
Volume7
Issue number5
DOIs
Publication statusPublished - Oct 2006

Keywords

  • Intramural haematoma
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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