Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
The Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography
Takahiro Kanda, Kei Tawarahara, Gaku Matsukura, Masayoshi Matsunari, Rumi Takabayashi, Jun Tamura, Mariko Ozeki, Hiroshi Ukigai
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Keywords: spontaneous coronary artery dissection, optical coherence tomography
JOURNAL OPEN ACCESS

2018 Volume 57 Issue 4 Pages 523-526

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Abstract

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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© 2018 by The Japanese Society of Internal Medicine
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