Key result
Optical coherence tomography successfully diagnosed spontaneous coronary artery dissection and intramural hematoma, and confirmed complete spontaneous vessel healing after 4 months of conservative therapy.
Case Report (n=1)
No
OCT provides detailed intravascular morphology for the accurate diagnosis of SCAD and can document the spontaneous healing process in patients managed conservatively.
May aid SCAD diagnosis and healing assessment with OCT; hypothesis-generating case report requiring prospective confirmation.
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).
No takes yet. Share an insight, caveat, or question.
Kanda et al. (2017) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Optical Coherence Tomography (OCT) vs. Coronary angiography (CAG) was evaluated on Visualization and diagnosis of SCAD and intramural hematoma. Optical coherence tomography successfully diagnosed spontaneous coronary artery dissection and intramural hematoma, and confirmed complete spontaneous vessel healing after 4 months of conservative therapy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: