TY - JOUR
T1 - Iatrogenic aortic haematoma during primary PTCA
T2 - Diagnostic value of transesophageal echocardiography in cath lab
AU - Minicucci, Fabio
AU - Galizia, Gianluigi
AU - Ascione, Luigi
AU - Granata, Gianluca
AU - Scaglione, Anna
AU - Accadia, Maria
AU - Rumolo, Salvatore
AU - Tuccillo, Bernardino
PY - 2006/10
Y1 - 2006/10
N2 - 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.
AB - 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.
KW - Intramural haematoma
KW - Transesophageal echocardiography
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U2 - 10.1016/j.euje.2005.07.009
DO - 10.1016/j.euje.2005.07.009
M3 - Article
C2 - 16140586
AN - SCOPUS:33747869249
VL - 7
SP - 390
EP - 393
JO - European Journal of Echocardiography
JF - European Journal of Echocardiography
SN - 1525-2167
IS - 5
ER -