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Interventricular septum hematoma during cineventriculography
Intraseptal hematoma and subsequent myocardial infarction due to accidental contrast agent deposition complicating diagnostic cineventriculography is a previously undescribed complication of angiography. A 61 year old man was admitted at intensive care unit because of unstable angina pectoris 1 hour...
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| Published in: | Cardiovascular ultrasound 2008-01, Vol.6 (1), p.4-4, Article 4 |
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| cited_by | cdi_FETCH-LOGICAL-b575t-50690a08ac7e393a324ace91cbef7141c17ca52c583795d8ed07da9027394e673 |
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| container_title | Cardiovascular ultrasound |
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| creator | Grohmann, Andrea Elgeti, Thomas Eddicks, Stephan Knebel, Fabian Rutsch, Wolfgang Melzer, Christoph Baumann, Gert Borges, Adrian C |
| description | Intraseptal hematoma and subsequent myocardial infarction due to accidental contrast agent deposition complicating diagnostic cineventriculography is a previously undescribed complication of angiography.
A 61 year old man was admitted at intensive care unit because of unstable angina pectoris 1 hour after coronary angiography. Transthoracic contrast echocardiography showed a non-perfused area in the middle of interventricular septum with an increase of thickening up to 26 mm. Review of cineventriculography revealed contrast enhancement in the interventricular septum after contrast medium injection and a dislocation of the pigtail catheter tip. Follow up by echocardiography and MRI showed, that intramural hematoma has resolved after 6 weeks. After 8 weeks successful stent implantation in LAD was performed and after 6 month the patient had a normal LV-function without ischemic signs or septal thickening demonstrated by stressechocardiography.
A safe and mobile position of the pigtail catheter during ventriculography in the middle of the LV cavity should be ensured to avoid this potentially life-threatening complication. For assessment and absolute measurement of intramural hematoma contrast-enhanced echocardiography is more feasible than MRI and makes interchangeable results. |
| doi_str_mv | 10.1186/1476-7120-6-4 |
| format | article |
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A 61 year old man was admitted at intensive care unit because of unstable angina pectoris 1 hour after coronary angiography. Transthoracic contrast echocardiography showed a non-perfused area in the middle of interventricular septum with an increase of thickening up to 26 mm. Review of cineventriculography revealed contrast enhancement in the interventricular septum after contrast medium injection and a dislocation of the pigtail catheter tip. Follow up by echocardiography and MRI showed, that intramural hematoma has resolved after 6 weeks. After 8 weeks successful stent implantation in LAD was performed and after 6 month the patient had a normal LV-function without ischemic signs or septal thickening demonstrated by stressechocardiography.
A safe and mobile position of the pigtail catheter during ventriculography in the middle of the LV cavity should be ensured to avoid this potentially life-threatening complication. For assessment and absolute measurement of intramural hematoma contrast-enhanced echocardiography is more feasible than MRI and makes interchangeable results.</description><identifier>ISSN: 1476-7120</identifier><identifier>EISSN: 1476-7120</identifier><identifier>DOI: 10.1186/1476-7120-6-4</identifier><identifier>PMID: 18199315</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Cardiac Catheterization - adverse effects ; Case Report ; Contrast Media - administration & dosage ; Contrast Media - adverse effects ; Echocardiography, Stress ; Electrocardiography ; Heart Septal Defects, Ventricular - diagnostic imaging ; Heart Septal Defects, Ventricular - etiology ; Heart Septal Defects, Ventricular - therapy ; Hematoma - etiology ; Hematoma - therapy ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Myocardial Infarction - etiology ; Myocardial Infarction - therapy ; Radiography ; Stents</subject><ispartof>Cardiovascular ultrasound, 2008-01, Vol.6 (1), p.4-4, Article 4</ispartof><rights>Copyright © 2008 Grohmann et al; licensee BioMed Central Ltd. 2008 Grohmann et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b575t-50690a08ac7e393a324ace91cbef7141c17ca52c583795d8ed07da9027394e673</citedby><cites>FETCH-LOGICAL-b575t-50690a08ac7e393a324ace91cbef7141c17ca52c583795d8ed07da9027394e673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2257924/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2257924/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18199315$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grohmann, Andrea</creatorcontrib><creatorcontrib>Elgeti, Thomas</creatorcontrib><creatorcontrib>Eddicks, Stephan</creatorcontrib><creatorcontrib>Knebel, Fabian</creatorcontrib><creatorcontrib>Rutsch, Wolfgang</creatorcontrib><creatorcontrib>Melzer, Christoph</creatorcontrib><creatorcontrib>Baumann, Gert</creatorcontrib><creatorcontrib>Borges, Adrian C</creatorcontrib><title>Interventricular septum hematoma during cineventriculography</title><title>Cardiovascular ultrasound</title><addtitle>Cardiovasc Ultrasound</addtitle><description>Intraseptal hematoma and subsequent myocardial infarction due to accidental contrast agent deposition complicating diagnostic cineventriculography is a previously undescribed complication of angiography.
A 61 year old man was admitted at intensive care unit because of unstable angina pectoris 1 hour after coronary angiography. Transthoracic contrast echocardiography showed a non-perfused area in the middle of interventricular septum with an increase of thickening up to 26 mm. Review of cineventriculography revealed contrast enhancement in the interventricular septum after contrast medium injection and a dislocation of the pigtail catheter tip. Follow up by echocardiography and MRI showed, that intramural hematoma has resolved after 6 weeks. After 8 weeks successful stent implantation in LAD was performed and after 6 month the patient had a normal LV-function without ischemic signs or septal thickening demonstrated by stressechocardiography.
A safe and mobile position of the pigtail catheter during ventriculography in the middle of the LV cavity should be ensured to avoid this potentially life-threatening complication. For assessment and absolute measurement of intramural hematoma contrast-enhanced echocardiography is more feasible than MRI and makes interchangeable results.</description><subject>Cardiac Catheterization - adverse effects</subject><subject>Case Report</subject><subject>Contrast Media - administration & dosage</subject><subject>Contrast Media - adverse effects</subject><subject>Echocardiography, Stress</subject><subject>Electrocardiography</subject><subject>Heart Septal Defects, Ventricular - diagnostic imaging</subject><subject>Heart Septal Defects, Ventricular - etiology</subject><subject>Heart Septal Defects, Ventricular - therapy</subject><subject>Hematoma - etiology</subject><subject>Hematoma - therapy</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - etiology</subject><subject>Myocardial Infarction - therapy</subject><subject>Radiography</subject><subject>Stents</subject><issn>1476-7120</issn><issn>1476-7120</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp10VtLwzAUB_AgipvTR19lX6Caa9OAiDK8DAa-6HM4TU-7jrUZaTfw27vaMTfEp1zOyY8T_oRcM3rLWBLfManjSDNOoziSJ2S4P58e7AfkomkWlHLORHJOBixhxgimhuR-WrcYNli3oXTrJYRxg6t2XY3nWEHrKxhn61DWxdiVNe7bfBFgNf-6JGc5LBu82q0j8vny_DF5i2bvr9PJ0yxKlVZtpGhsKNAEnEZhBAguwaFhLsVcM8kc0w4UdyoR2qgswYzqDAzlWhiJsRYjMu3dzMPCrkJZQfiyHkr7c-FDYSG0pVuiZZlGkyIFASATlqdaya0tZcxRS8St9dBbq3VaYea6L8HyCD2u1OXcFn5jOVfacLkFHnsgLf0_wHHF-cp2SdguCRvbjoh6wgXfNAHz_WtGbZfqn_6bw5l_u3cxim_fuZ-X</recordid><startdate>20080116</startdate><enddate>20080116</enddate><creator>Grohmann, Andrea</creator><creator>Elgeti, Thomas</creator><creator>Eddicks, Stephan</creator><creator>Knebel, Fabian</creator><creator>Rutsch, Wolfgang</creator><creator>Melzer, Christoph</creator><creator>Baumann, Gert</creator><creator>Borges, Adrian C</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20080116</creationdate><title>Interventricular septum hematoma during cineventriculography</title><author>Grohmann, Andrea ; Elgeti, Thomas ; Eddicks, Stephan ; Knebel, Fabian ; Rutsch, Wolfgang ; Melzer, Christoph ; Baumann, Gert ; Borges, Adrian C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b575t-50690a08ac7e393a324ace91cbef7141c17ca52c583795d8ed07da9027394e673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Cardiac Catheterization - adverse effects</topic><topic>Case Report</topic><topic>Contrast Media - administration & dosage</topic><topic>Contrast Media - adverse effects</topic><topic>Echocardiography, Stress</topic><topic>Electrocardiography</topic><topic>Heart Septal Defects, Ventricular - diagnostic imaging</topic><topic>Heart Septal Defects, Ventricular - etiology</topic><topic>Heart Septal Defects, Ventricular - therapy</topic><topic>Hematoma - etiology</topic><topic>Hematoma - therapy</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - etiology</topic><topic>Myocardial Infarction - therapy</topic><topic>Radiography</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grohmann, Andrea</creatorcontrib><creatorcontrib>Elgeti, Thomas</creatorcontrib><creatorcontrib>Eddicks, Stephan</creatorcontrib><creatorcontrib>Knebel, Fabian</creatorcontrib><creatorcontrib>Rutsch, Wolfgang</creatorcontrib><creatorcontrib>Melzer, Christoph</creatorcontrib><creatorcontrib>Baumann, Gert</creatorcontrib><creatorcontrib>Borges, Adrian C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Cardiovascular ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grohmann, Andrea</au><au>Elgeti, Thomas</au><au>Eddicks, Stephan</au><au>Knebel, Fabian</au><au>Rutsch, Wolfgang</au><au>Melzer, Christoph</au><au>Baumann, Gert</au><au>Borges, Adrian C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interventricular septum hematoma during cineventriculography</atitle><jtitle>Cardiovascular ultrasound</jtitle><addtitle>Cardiovasc Ultrasound</addtitle><date>2008-01-16</date><risdate>2008</risdate><volume>6</volume><issue>1</issue><spage>4</spage><epage>4</epage><pages>4-4</pages><artnum>4</artnum><issn>1476-7120</issn><eissn>1476-7120</eissn><abstract>Intraseptal hematoma and subsequent myocardial infarction due to accidental contrast agent deposition complicating diagnostic cineventriculography is a previously undescribed complication of angiography.
A 61 year old man was admitted at intensive care unit because of unstable angina pectoris 1 hour after coronary angiography. Transthoracic contrast echocardiography showed a non-perfused area in the middle of interventricular septum with an increase of thickening up to 26 mm. Review of cineventriculography revealed contrast enhancement in the interventricular septum after contrast medium injection and a dislocation of the pigtail catheter tip. Follow up by echocardiography and MRI showed, that intramural hematoma has resolved after 6 weeks. After 8 weeks successful stent implantation in LAD was performed and after 6 month the patient had a normal LV-function without ischemic signs or septal thickening demonstrated by stressechocardiography.
A safe and mobile position of the pigtail catheter during ventriculography in the middle of the LV cavity should be ensured to avoid this potentially life-threatening complication. For assessment and absolute measurement of intramural hematoma contrast-enhanced echocardiography is more feasible than MRI and makes interchangeable results.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>18199315</pmid><doi>10.1186/1476-7120-6-4</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cardiac Catheterization - adverse effects Case Report Contrast Media - administration & dosage Contrast Media - adverse effects Echocardiography, Stress Electrocardiography Heart Septal Defects, Ventricular - diagnostic imaging Heart Septal Defects, Ventricular - etiology Heart Septal Defects, Ventricular - therapy Hematoma - etiology Hematoma - therapy Humans Magnetic Resonance Imaging Male Middle Aged Myocardial Infarction - etiology Myocardial Infarction - therapy Radiography Stents |
| title | Interventricular septum hematoma during cineventriculography |
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