Work

Spontaneous Coronary Artery Dissection: Insights From Histology and Optical Coherence Tomography

Year: 2017

Type: article

Abstract: Spontaneous coronary artery dissection (SCAD) is a well-known but infrequent cause of acute coronary syndrome (ACS), and often goes unrecognized. Although management of SCAD is, at times, controversial, when a patient presents with ACS, percutaneous coronary intervention (PCI) is frequently necessary. We present a patient with ST-segment elevation myocardial infarction (STEMI) with SCAD that illustrates two important points: use of intracoronary optical coherence tomography to guide PCI, and histologic assessment to provide a unique insight into the etiology of SCAD. Following the case, we briefly review the important aspects of the pathophysiology, epidemiology, diagnosis, and interventional management of SCAD.

Source: Reviews in Cardiovascular Medicine

DOI: 10.3909/ricm0856

Authors: Sandeep K. Krishnan, Alex Zhu, Brent Larson, Timothy D. Henry, Suhail Dohad

Institutions: University of Washington Medical Center, Cedars-Sinai Medical Center, Cedars-Sinai Smidt Heart Institute

Language: English

Topic: Cardiovascular Issues in Pregnancy

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

Funder: Cedars-Sinai Medical Center