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. 2024 Oct 24;95(1):107-110.
doi: 10.24875/ACM.24000004.

Unraveling the challenges in spontaneous coronary artery dissection: a case series of VA ECMO support and heart transplantation

Lucrecia M Burgos  1 , Lucas L Suárez  2 , Julio A San Martino  3 , Rocio C Baro-Vila  1 , Juan Mariano-Vrancic  4 , Mirta Diez  1
Affiliations

Unraveling the challenges in spontaneous coronary artery dissection: a case series of VA ECMO support and heart transplantation

Lucrecia M Burgos et al. Arch Cardiol Mex. .
No abstract available

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
A and B: ICA of case 1. A: first ICA: the image shows the first diagonal branch (Dg) with a severe proximal lesion in the lower subdivision (arrow). Arterial vessels exhibit tortuosities and smooth distal narrowing, angiographic characteristics of FMD. B: third ICA: Severe vasospasm in the LMCA (arrow 1), proximal occlusion of the LMCA (arrow 2), and moderate ostial and proximal lesion in the Cx, appearing severe due to vasospasm (arrow 3). C, D, and E: pathological anatomy of explanted heart of case 1. C and D: fibromuscular dysplasia intimal and medial, hematoxylin-eosin, original magnification ×100°C: Masson’s trichrome ×60. C: coronary dissection. ICA: invasive coronary angiography; FMD: fibromuscular dysplasia; LMCA: left main coronary artery.
Figure 2
Figure 2
A: pathological anatomy of explanted heart of case 2. B: rosary of the intima, focal fibrosis of the media, and extensive dissection in the external sector of the media. Hematoxylin - eosin, original magnification ×40. C: ICA case 3. Arrow: total occlusion of the left AD and Cx arteries is observed in the proximal segment.
See this image and copyright information in PMC

References

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