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Heart Views. 2019 Jan-Mar;20(1):17-20. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_15_19.

Coronary Intramural Hematoma: Challenges in Diagnosis and Management.

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Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.


Coronary intramural hematoma (CIH) after percutaneous coronary intervention (PCI) is a rare cause of acute coronary syndrome. As the diagnosis is really challenging, its incidence is really under estimated. The optimal management of post-PCI CIH has not been well defined. Conventional coronary angiography alone is often insufficient to identify a CIH. Intravascular ultrasound and optical coherence tomography (OCT) are helpful modalities for diagnosis and evaluation of its extension. We present a case of CIH after PCI, highlighting our experience in the diagnostic accuracy of OCT and our strategy in the management of this case.


Coronary intramural hematoma; diagnosis; intravascular ultrasound; management; optical coherence tomography

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