Intramural haematoma secondary to balloon angioplasty. Panels A&B: Initial angiography and IVUS examination confirmed ostial LAD disease. Panel C: Post procedure angiography showed a good angiographic result in the LAD. Panel D: IVUS examination of the Cx revealed no evidence of dissection. Panels E&F: Repeat angiography revealed a significant stenosis in the proximal Cx, which was confirmed on IVUS to be intramural haematoma.