Author/Authors :
El-Battrawy, Ibrahim First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Akin, Ibrahim First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Münz, Benedikt First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Manuel Leistner, David First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Behnes, Michael First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Henzler, Thomas Department of Clinical Radiology and Nuclear Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Haubenreisser, Holger Department of Clinical Radiology and Nuclear Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Papavassiliu, Theano First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Borggrefe, Martin First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany , Lehmann, Ralf First Department of Medicine - University Medical Centre Mannheim (UMM) - Faculty of Medicine Mannheim - University of Heidelberg, Germany
Abstract :
Intraventricular septum-hematoma is a rare complication following percutaneous coronary intervention (PCI). This complication
may represent a challenge for accurate diagnosis and treatment. This case report is about a 60-year-old male patient being admitted
with an acute coronary syndrome. Despite successful PCI with drug eluting stent implantation into the right coronary artery (RCA)
the patient complained about recurrent angina pectoris according to Canadian Cardiovascular Society (CCS) class IV. Cardiac
magnetic resonance imaging and transthoracic echocardiography revealed a massive 4.9 × 9.2 cm sized end-diastolic septumhematoma, which compromised right ventricular cavity. Emergent recoronary angiography ruled out further contrast extravasation
from the RCA. Conservative treatment was intended after discussion in the “heart-team.” The patient completely recovered with
nearly complete resolution of the hematoma after 6 months.
Keywords :
Ventricular Compression , Intraventricular , Septum-Hematoma Induced , Percutaneous Coronary Intervention
