Spontaneous Coronary Artery Dissection

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Presentation transcript:

Spontaneous Coronary Artery Dissection Jacqueline Saw, MD Canadian Journal of Cardiology Volume 29, Issue 9, Pages 1027-1033 (September 2013) DOI: 10.1016/j.cjca.2012.12.018 Copyright © 2013 Canadian Cardiovascular Society Terms and Conditions

Figure 1 Schematic diagram of the mechanisms of spontaneous coronary artery dissection. Canadian Journal of Cardiology 2013 29, 1027-1033DOI: (10.1016/j.cjca.2012.12.018) Copyright © 2013 Canadian Cardiovascular Society Terms and Conditions

Figure 2 Coronary angiogram showing dissected obtuse marginal artery with multiple radiolucent lumen. Canadian Journal of Cardiology 2013 29, 1027-1033DOI: (10.1016/j.cjca.2012.12.018) Copyright © 2013 Canadian Cardiovascular Society Terms and Conditions

Figure 3 (A) Coronary angiogram showing mild stenosis of the mid circumflex caused by spontaneous coronary artery dissection with intramural hematoma (asterisk) on optical coherence tomography in (B). Canadian Journal of Cardiology 2013 29, 1027-1033DOI: (10.1016/j.cjca.2012.12.018) Copyright © 2013 Canadian Cardiovascular Society Terms and Conditions

Figure 4 Optical coherence tomography image showing late stent strut malapposition after stenting of a dissected coronary artery. Canadian Journal of Cardiology 2013 29, 1027-1033DOI: (10.1016/j.cjca.2012.12.018) Copyright © 2013 Canadian Cardiovascular Society Terms and Conditions

Figure 5 (A) Coronary angiogram showing a diffusely dissected mid to apical left descending artery. (B) Repeat angiogram several months later showing a healed dissection. Canadian Journal of Cardiology 2013 29, 1027-1033DOI: (10.1016/j.cjca.2012.12.018) Copyright © 2013 Canadian Cardiovascular Society Terms and Conditions