Chest Pain and the Dynamic Evolution of Spontaneous Coronary Artery Hematoma.

胸痛与自发性冠状动脉血肿的动态演变.

• 发表时间: Jan 2023 18
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2022.09.031
• PMID: 36704054
• 文章类型: Case Reports
• 作者列表: Franzino M,Costa F,De Ferrari T,Vizzari G,Andò G,Ceresa F,Patanè F,Di Bella G,Micari A

关键词: CMR, cardiac magnetic resonance; CT, computed tomography; IVUS; IVUS, intravascular ultrasound; MI, myocardial infarction; MINOCA; MINOCA, myocardial infarction with nonobstructive coronary arteries; SCAD; SCAD, spontaneous coronary artery disease; SCIH, spontaneous coronary intramural hematoma; acute coronary syndrome; cardiac magnetic resonance; spontaneous coronary intramural hematoma

Abstract

Spontaneous coronary intramural hematoma (SCIH) is a rare but underdiagnosed condition, with dynamic evolution. We present a patient with acute chest pain and normal coronary angiogram undergoing work-up for myocardial infarction with nonobstructive coronary arteries. Cardiac magnetic resonance revealed an ischemic pattern, and subsequent angiography revealed coronary occlusion by SCIH. (Level of Difficulty: Intermediate.).

摘要

自发性冠状动脉壁内血肿（SCIH）是一种罕见但未被诊断的疾病，动态进化。我们介绍了一名患有急性胸痛且冠状动脉造影正常的患者，该患者正在接受非阻塞性冠状动脉心肌梗死的检查。心脏磁共振显示缺血模式,随后的血管造影显示SCIH导致冠状动脉闭塞。（难度等级：中级。).