STEMI with fluctuating closing of LAD and Cx

Case report of the male with an anterior STEMI to whom a primary PCI is performed. The angiogram shows a fluctuating close of the LAD and Cx than when an OCT is performed is not clearly seem any pathological findings but when the IVUS is performed, it is clearly seem a coronary haematoma at the LM, LAD and Cx. Stent at the LM-LAD and proximal Cx are implanted with final good result. After exchange the guiding catheter for a diagnostic catheter to visualize the RCA, there is an aortic flap, the coronary haematoma was coming from an ascending aortic dissection.
Source: Cardiovascular Revascularization Medicine - Category: Cardiology Authors: Source Type: research