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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Format: | Article |
Language: | English |
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Wiley
2023-04-01
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Series: | ESC Heart Failure |
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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. |
first_indexed | 2024-04-09T20:59:18Z |
format | Article |
id | doaj.art-115be0dc403846e09e54d8fd4a59af80 |
institution | Directory Open Access Journal |
issn | 2055-5822 |
language | English |
last_indexed | 2024-04-09T20:59:18Z |
publishDate | 2023-04-01 |
publisher | Wiley |
record_format | Article |
series | ESC Heart Failure |
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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