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. 2020 Dec 16;2(15):2445-2447.
doi: 10.1016/j.jaccas.2020.10.024. eCollection 2020 Dec.

Spontaneous Coronary Artery Dissection: Less Is More!

Mehdi Saighi Bouaouina  1 , Pascal Motreff  2 , Mohamed Mehdi Boussaada  3 , Christel Perdrix  1 , Hakim Benamer  1   4   5
Affiliations

Spontaneous Coronary Artery Dissection: Less Is More!

Mehdi Saighi Bouaouina et al. JACC Case Rep. .

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction (ACS). We report a case of acute coronary syndrome due to SCAD of the right coronary artery. Diagnosis was based on clinical presentation and coronary angiography, and confirmed by optical coherence tomography which guided our treatment strategy. (Level of Difficulty: Beginner.).

Keywords: OCT, optical coherence tomography; optical coherence tomography; spontaneous coronary artery dissection.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Spontaneous Coronary Artery Dissection (A) Coronary angiography showing dissection of the right coronary artery. (Aʹ) Spontaneous coronary artery dissection confirmed by optical coherence tomography. The true lumen (asterisks) is compressed by an intramural hematoma. (B) Chronic occlusive dissection of the right coronary artery. (Bʹ) Optical frequency domain imaging: The guidewire is inside the false lumen in the first 9 cm. (C) Final result after stenting. (Cʹ) Well-apposed stents on optical coherence tomography with the true lumen (asterisks) outside the stents.
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