Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengue

Abstract We reported the case of a 33‐year‐old male who presented a dengue infection complicated by spontaneous coronary artery intramural hematoma associated with acute myocarditis. The initial presentation was a typical acute coronary syndrome with ST‐segment elevation. Coronary angiography and en...

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Main Authors: Jérôme Corré, Shamir Vally, Philippe Boiron, Yoann Bouillaud, Jean‐Yves Travers
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:ESC Heart Failure
Subjects:
Online Access:https://doi.org/10.1002/ehf2.14259
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author Jérôme Corré
Shamir Vally
Philippe Boiron
Yoann Bouillaud
Jean‐Yves Travers
author_facet Jérôme Corré
Shamir Vally
Philippe Boiron
Yoann Bouillaud
Jean‐Yves Travers
author_sort Jérôme Corré
collection DOAJ
description Abstract We reported the case of a 33‐year‐old male who presented a dengue infection complicated by spontaneous coronary artery intramural hematoma associated with acute myocarditis. The initial presentation was a typical acute coronary syndrome with ST‐segment elevation. Coronary angiography and endocoronary optical coherence tomography confirmed the diagnosis of left anterior descending artery intramural hematoma. Cardiac magnetic resonance imaging revealed not only typical ischaemic injury but also lesions of acute myocarditis confirmed by native T1‐ and T2‐mapping, sub‐epicardial late gadolinium enhancement and pericardial effusion. This case highlights the multiple cardiac damages caused by dengue virus, their possible association (coincidental or linked?), and the impact of multimodal imaging on diagnosis and management.
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spelling doaj.art-115be0dc403846e09e54d8fd4a59af802023-03-29T11:45:21ZengWileyESC Heart Failure2055-58222023-04-011021445144810.1002/ehf2.14259Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengueJérôme Corré0Shamir Vally1Philippe Boiron2Yoann Bouillaud3Jean‐Yves Travers4Cardiology Department Felix Guyon University Hospital Allée des Topazes 97400 Saint‐Denis Reunion FranceCardiology Department Felix Guyon University Hospital Allée des Topazes 97400 Saint‐Denis Reunion FranceCardiology Department Felix Guyon University Hospital Allée des Topazes 97400 Saint‐Denis Reunion FranceCardiology Department Felix Guyon University Hospital Allée des Topazes 97400 Saint‐Denis Reunion FranceImaging Department Felix Guyon University Hospital Paris FranceAbstract We reported the case of a 33‐year‐old male who presented a dengue infection complicated by spontaneous coronary artery intramural hematoma associated with acute myocarditis. The initial presentation was a typical acute coronary syndrome with ST‐segment elevation. Coronary angiography and endocoronary optical coherence tomography confirmed the diagnosis of left anterior descending artery intramural hematoma. Cardiac magnetic resonance imaging revealed not only typical ischaemic injury but also lesions of acute myocarditis confirmed by native T1‐ and T2‐mapping, sub‐epicardial late gadolinium enhancement and pericardial effusion. This case highlights the multiple cardiac damages caused by dengue virus, their possible association (coincidental or linked?), and the impact of multimodal imaging on diagnosis and management.https://doi.org/10.1002/ehf2.14259Acute coronary syndromeDengue infectionDengue myocarditisSpontaneous coronary artery dissectionIntramural hematoma
spellingShingle Jérôme Corré
Shamir Vally
Philippe Boiron
Yoann Bouillaud
Jean‐Yves Travers
Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengue
ESC Heart Failure
Acute coronary syndrome
Dengue infection
Dengue myocarditis
Spontaneous coronary artery dissection
Intramural hematoma
title Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengue
title_full Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengue
title_fullStr Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengue
title_full_unstemmed Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengue
title_short Spontaneous coronary hematoma concomitant with myocarditis: the first report of double cardiac complication of dengue
title_sort spontaneous coronary hematoma concomitant with myocarditis the first report of double cardiac complication of dengue
topic Acute coronary syndrome
Dengue infection
Dengue myocarditis
Spontaneous coronary artery dissection
Intramural hematoma
url https://doi.org/10.1002/ehf2.14259
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