J Cardiovasc Ultrasound.  2008 Dec;16(4):126-129. 10.4250/jcu.2008.16.4.126.

A Case of Right Coronary Artery Hematoma Detected by Echocardiography after Percutaneous Coronary Intervention

• Han HJ
• Choi JO
• Sohn GH
• Byeon KM
• Kim YJ
• Choi JH
• Park SW

• KMID: 1486392
• DOI: http://doi.org/10.4250/jcu.2008.16.4.126

Abstract

A 69-year-old man was admitted to undergo percutaneous coronary intervention (PCI) for chronic total occlusion of right coronary artery. He had diabetes mellitus, stable angina pectoris. Diagnostic coronary angiography demonstrated proximal total occlusion of right coronary artery. PCI was failed due to failure of balloon passage. Echocardiography was performed after PCI and thickened epicardial tissue at right atrioventricular groove was noted. It was highly echogenic and localized along the course of mid right coronary artery. In following echocardiogram after 12 days, the size of echogenic mass was decreased from 3.4 cmx2.6 cm to 1.7 cmx0.7 cm and we could conclude it was right coronary artery hematoma associated with PCI.

Keyword

Coronary artery perforation; Coronary artery hematoma

MeSH Terms

Aged
Angina Pectoris
Coronary Angiography
Coronary Vessels
Diabetes Mellitus, Type 2
Echocardiography
Hematoma
Humans
Percutaneous Coronary Intervention

Figure

• 

  Fig. 1 Coronary angiography. A: Guidewire was inserted to distal right coronary artery via septal branch of left anterior descending artery. However balloon catheter (white arrow) could not pass through mid right coronary artery. Left anterior oblique cranial view. B: After percutaneous coronary intervention, final coronary angiogram was acquired. There was no extravasation of contrast. Left anterior oblique cranial view.

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  Fig. 2 Transthoracic echocardiography on the day of percutaneous coronary intervention. A: Homogeneous highly echogenic mass (white arrow) at the right atrioventricular groove was noted on apical four chamber view. B: The mass at the atrioventricular groove (white arrow) was about 3.4 cm×2.6 cm on subcostal view.

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  Fig. 3 Transthoracic echocardiography performed on 12 days after percutaneous coronary intervention. A: There was no visible mass at the right atrioventricular groove on apical four chamber view. B: The size of the mass (white arrow) was decreased from 3.4 cm×2.6 cm to 1.7 cm×0.7 cm on subcostal view.

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