Interv Akut Kardiol. 2009;8(5):260-263

Intramural haematoma of left coronary artery

Martin Pavolko¹, Petr Vojtíšek², Aleš Herman³, Ivo Varvařovský³

¹ Kardiologické oddělení Interní kliniky, Pardubická krajská nemocnice a. s., Pardubice

² Kardiologické oddělení Krajské nemocnice Pardubice

³ Kardio-Troll, pracoviště invazivní kardiologie, Krajská nemocnice, Pardubice

In our case report we would like to present a rare instance of myocardial infarction of the anterior wall with primary ventricular fibrillation

and cardiogenic shock in a young woman who had no risk factors for ischemic heart disease. The cause was stenosis of the left

anterior descending artery produced by an intramural haematoma, which was due to spontaneous coronary artery dissection.

Diagnosis: was verified by intravascular ultrasound. The lasting presence of stenosis 17 days after the troubles were first documented was the

argument for surgical revascularization. In this report we shall try to illustrate epidemiological and diagnostic specifics and to present

current therapeutical possibilities.

Keywords: acute myocardial infarction, cardiogenic shock, spontaneous coronary artery dissection, intramural haematoma of coronary artery, intravascular ultrasound.

Published: November 20, 2009  Show citation