» Articles » PMID: 26131251

Compression of the Ostium of Left Main Coronary Artery Caused by Aortic Root Intramural Hematoma After Blunt Thoracic Trauma

Overview
Specialty General Medicine
Date 2015 Jul 2
PMID 26131251
Authors
Affiliations
Soon will be listed here.
Abstract

We reported a case of compression of the ostium of left main coronary artery caused by aortic root intramural hematoma after blunt thoracic trauma treated with percutaneous coronary intervention (PCI). A 46-year-old man visited our hospital because of exertional chest discomfort and dyspnea for 4 months. He was diagnosed as compression of the ostium of left main coronary artery caused by aortic root intramural hematoma, severe stenosis in the ostium of the left main coronary artery. The percutaneous coronary intervention was conducted, and a drug-eluting stent was implanted successfully. The symptoms were improved and the patient had a good recovery after PCI surgery.

References
1.
Rajesh G, Raju D, Nandan D, Haridasan V, Vinayakumar D, Muneer K . Echocardiographic assessment of right ventricular function in inferior wall myocardial infarction and angiographic correlation to proximal right coronary artery stenosis. Indian Heart J. 2013; 65(5):522-8. PMC: 3861010. DOI: 10.1016/j.ihj.2013.08.021. View

2.
Wu X, Liu C, Lin W, Kao H . Long-term outcome of percutaneous coronary intervention for unprotected left main coronary artery disease. Int J Cardiol. 2008; 138(3):272-6. DOI: 10.1016/j.ijcard.2008.08.016. View

3.
Blanchard D, Sawhney N . Aortic Intramural Hematoma: Current Diagnostic and Therapeutic Recommendations. Curr Treat Options Cardiovasc Med. 2004; 6(2):99-104. DOI: 10.1007/s11936-004-0037-0. View

4.
Hiratzka L, Bakris G, Beckman J, Bersin R, Carr V, Casey Jr D . 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. A report of the American College of Cardiology Foundation/American Heart Association Task Force.... Catheter Cardiovasc Interv. 2010; 76(2):E43-86. DOI: 10.1002/ccd.22537. View

5.
Athappan G, Patvardhan E, Tuzcu M, Ellis S, Whitlow P, Kapadia S . Left main coronary artery stenosis: a meta-analysis of drug-eluting stents versus coronary artery bypass grafting. JACC Cardiovasc Interv. 2013; 6(12):1219-30. DOI: 10.1016/j.jcin.2013.07.008. View