Intramyocardial hematoma with epicardial rupture following percutaneous coronary intervention

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Intramyocardial hematomas are uncommon, often linked to cardiac procedures or trauma.
• Coronary perforation during percutaneous coronary intervention (PCI) is rare, with associated intramyocardial hematoma being even rarer.
• These events are typically considered catastrophic, posing significant clinical challenges.

Observation:

• A 63-year-old male patient developed an intramyocardial hematoma with epicardial rupture following PCI.
• The patient's condition presented as a rare and potentially severe complication of the interventional procedure.

Findings:

• The intramyocardial hematoma with epicardial rupture was successfully managed conservatively.
• The patient experienced a favorable outcome despite the initial severity of the complication.

Implications:

• Conservative management can be a viable and successful strategy for specific cases of intramyocardial hematoma post-PCI.
• This case expands the understanding of managing rare complications of interventional cardiology.
• Highlights the importance of considering conservative options even in seemingly catastrophic cardiac events.