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Can J Cardiol. 2017 Dec;33(12):1736.e5-1736.e7. doi: 10.1016/j.cjca.2017.08.003. Epub 2017 Aug 16.

Delayed Formation of a Massive Atrial Hematoma After Coronary Intervention Manifesting With an Isolated Cough: Multimodality Imaging and Outcome.

Author information

1
Service de cardiologie, centre hospitalier d'Avignon, Avignon, France; Avignon université, EA4278, laboratoire de pharm-écologie-cardiovasculaire, Avignon, France.
2
Service de cardiologie, centre hospitalier d'Avignon, Avignon, France.
3
Cabinet de cardiologie, Orange, France.
4
Clinique Rhone durance, Avignon, France.
5
Service de cardiologie, Hopital nord franche comté, Trévenans, France. Electronic address: sofienerek@yahoo.fr.

Abstract

Coronary artery perforation is a relatively rare but potentially life-threatening complication of percutaneous coronary intervention because it could result in cardiac tamponade; exceptionally, distal coronary perforation could cause an acute formation of a mural hematoma, which could also prove lethal without adequate management. We report an exceptional case of a 76-year-old man in whom an important left atrial hematoma formed progressively over weeks after a planned percutaneous coronary intervention and manifested with an isolated cough. Diagnosis was made using multimodality imaging. A conservative strategy was adopted and produced a favourable outcome.

PMID:
29066330
DOI:
10.1016/j.cjca.2017.08.003
[Indexed for MEDLINE]

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