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A Coronary Intramural Hematoma Presenting with ST-Elevation Myocardial Infarction in an Elderly Man

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초록

An intramural hematoma is a rare, challenging cause of myocardial infarction generally seen in middle-aged females with no atherosclerotic risk factors. Intravascular ultrasound is useful in diagnosing and managing intramural hematomas. Here, we present anintramural hematoma presenting with ST-elevation myocardial infarction without definite intimal dissection in an elderly man who was diagnosed using intravascular ultrasound and managed accordingly.

Abstract

An intramural hematoma is a rare, challenging cause of myocardial infarction generally seen in middle-aged females with no atherosclerotic risk factors. Intravascular ultrasound is useful in diagnosing and managing intramural hematomas. Here, we present anintramural hematoma presenting with ST-elevation myocardial infarction without definite intimal dissection in an elderly man who was diagnosed using intravascular ultrasound and managed accordingly.

참고문헌 (10)

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  3. Mortensen KH, "Spontaneous coronary artery dissection: a Western Denmark Heart Registry study", Catheter Cardiovasc Interv, 74, pp.710~717 (2009)
  4. Poon K, "Drug eluting stents trapping intramural hematoma in spontaneous coronary artery dissection and healing pattern at six months: optical coherence tomography findings", Cardiovasc Revasc Med, 14, pp.183~186 (2013)
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  10. Iyisoy A, "The role of intravascular ultrasound guidance in the treatment of intramural hematoma probably caused by spontaneous coronary artery dissection in a young woman with acute anterior myocardial infarction", Cardiol J, 19, pp.532~535 (2012)

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