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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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
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author Kanda, Takahiro
Tawarahara, Kei
Matsukura, Gaku
Matsunari, Masayoshi
Takabayashi, Rumi
Tamura, Jun
Ozeki, Mariko
Ukigai, Hiroshi
author_facet Kanda, Takahiro
Tawarahara, Kei
Matsukura, Gaku
Matsunari, Masayoshi
Takabayashi, Rumi
Tamura, Jun
Ozeki, Mariko
Ukigai, Hiroshi
author_sort Kanda, Takahiro
collection PubMed
description 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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spelling pubmed-58495482018-03-15 The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography Kanda, Takahiro Tawarahara, Kei Matsukura, Gaku Matsunari, Masayoshi Takabayashi, Rumi Tamura, Jun Ozeki, Mariko Ukigai, Hiroshi Intern Med Case Report 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). The Japanese Society of Internal Medicine 2017-12-21 2018-02-15 /pmc/articles/PMC5849548/ /pubmed/29269638 http://dx.doi.org/10.2169/internalmedicine.8862-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kanda, Takahiro
Tawarahara, Kei
Matsukura, Gaku
Matsunari, Masayoshi
Takabayashi, Rumi
Tamura, Jun
Ozeki, Mariko
Ukigai, Hiroshi
The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography
title The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography
title_full The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography
title_fullStr The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography
title_full_unstemmed The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography
title_short The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography
title_sort diagnosis of spontaneous coronary artery dissection by optical coherence tomography
topic Case Report
url 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
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