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Subepicardial hematoma after percutaneous coronary intervention
Raúl Alberto Borracci1, Natalia Ayala1, Paola Renes1
1IMA Clinic, Adrogué, Buenos Aires, Argentina.
Cirugia Y Cirujanos
|October 19, 2016
Summary
Subepicardial hematoma, a rare complication of percutaneous coronary intervention, can occur without cardiac tamponade. Urgent surgery may be required for this life-threatening condition.
Area of Science:
- Cardiology
- Interventional Cardiology
Background:
- Coronary artery perforation during percutaneous coronary intervention (PCI) can lead to life-threatening cardiac tamponade.
- Subepicardial or intramyocardial hematoma without hemopericardium is an exceptionally rare complication of PCI.
Observation:
- A case report details a 72-year-old woman who developed a subepicardial hematoma following PCI.
- The patient required emergent surgical intervention.
Findings:
- Subepicardial hematoma formation after PCI is a critical consideration, especially when hemopericardium is absent.
- Diagnostic imaging like transthoracic echocardiogram or computed tomography is crucial for management decisions.
Implications:
- This rare presentation highlights the importance of considering hematoma in suspected coronary perforations without tamponade.
- Imaging modalities guide the choice between conservative management and invasive surgical approaches for subepicardial hematoma.
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