Imaging Modalities to Delineate Sequelae of Spontaneous Coronary Artery Dissection Managed with Percutaneous Coronary Intervention

Patients with spontaneous coronary artery dissection (SCAD) often present as clinically unstable, requiring management with percutaneous coronary intervention. Complications from persistent dissection and initial percutaneous management can present with later challenges. Intravascular and non-invasive imaging modalities are adjunct modalities to coronary angiography to delineate coronary anatomy and guide therapeutic strategies. Herein, we describe the case of a 23-year-old female patient who presented with heart failure and severe mitral regurgitation eight months after an index SCAD event during which she underwent extensive stenting of the left anterior descending artery. The multimodal imaging used in this case and how it helped in formulating the management rationale is also reviewed.