The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography

Spontaneous coronary artery dissection (SCAD) is rare, but it frequently presents as acute myocardial infarction. It is frequently fatal and most cases are diagnosed at autopsy. We herein present the case of a 65-year-old woman with ST-elevation and myocardial infarction due to SCAD. Optical coheren...

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Detalles Bibliográficos
Autores principales: Kanda, Takahiro, Tawarahara, Kei, Matsukura, Gaku, Matsunari, Masayoshi, Takabayashi, Rumi, Tamura, Jun, Ozeki, Mariko, Ukigai, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5849548/
https://www.ncbi.nlm.nih.gov/pubmed/29269638
http://dx.doi.org/10.2169/internalmedicine.8862-17
Descripción
Sumario:Spontaneous coronary artery dissection (SCAD) is rare, but it frequently presents as acute myocardial infarction. It is frequently fatal and most cases are diagnosed at autopsy. We herein present the case of a 65-year-old woman with ST-elevation and myocardial infarction due to SCAD. Optical coherence tomography (OCT) helped us to confirm the diagnosis. The information on the intravascular morphology provided by OCT imaging is much more detailed in comparison to that provided by coronary angiography (CAG) and intravascular ultrasound (IVUS).

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