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Angiology
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Angiographic and Pathologic Evidence of Hemorrhage Into the Myocardium After Coronary Reperfusion

Masao Yasuno

From the Division of Internal Medicine, Shizuoka Rosai Hospital, Hamamatsu City, Japan

Shigeki Endo

From the Division of Internal Medicine, Shizuoka Rosai Hospital, Hamamatsu City, Japan

Masaaki Takahashi

From the Division of Internal Medicine, Shizuoka Rosai Hospital, Hamamatsu City, Japan

Moriharu Ishida

From the Division of Internal Medicine, Shizuoka Rosai Hospital, Hamamatsu City, Japan

Yoshihiko Saito

From the Division of Internal Medicine, Shizuoka Rosai Hospital, Hamamatsu City, Japan

Katsuhiro Suzuki

From the Division of Internal Medicine, Shizuoka Rosai Hospital, Hamamatsu City, Japan

Hisayoshi Fujiwara

From the Third Division, Department of Internal Medicine, Kyoto University, Kyoto, Japan

Severe myocardial hemorrhage can occur as a potential adverse effect of reperfusion therapy in evolving myocardial infarction. This report describes a 83-year-old man, who showed angiographic evidence of extravasation of con trast medium from the reperfused right coronary artery into the inferoposterior left ventricular wall. At autopsy, severe hemorrhage was transmurally observed in the inferoposterior wall of the left ventricle. The finding of extravasation is a useful angiographic sign of the production of hemorrhage during coronary re perfusion therapy, and great attention should be focused to the existence of this sign to prevent further hemorrhage.

Angiology, Vol. 35, No. 12, 797-801 (1984)
DOI: 10.1177/000331978403501208
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