Resolution of spontaneous coronary artery dissection within 3 weeks detected by computed tomography angiography and intravascular ultrasound

A 62-year-old woman was admitted with chest pain lasting about 3 h. Spontaneous coronary artery dissection (SCAD) was detected in the left anterior descending artery (LAD) by intravascular ultrasound (IVUS). Sixteen days after onset, follow-up computed tomography angiography was performed and reveal...

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Bibliographic Details
Published in:Cardiovascular intervention and therapeutics 2017, Vol.32 (1), p.77-81
Main Authors: Tsutsui, Hiroshi, Chino, Chiharu, Komatsu, Miho, Sakai, Takahiro, Aizawa, Kazunori, Owa, Mafumi
Format: Article
Language:English
Subjects:
Cardiology
Case Report
Computed Tomography Angiography - methods
Coronary Vessel Anomalies - diagnosis
Coronary Vessels - diagnostic imaging
Female
Follow-Up Studies
Humans
Interventional Radiology
Medicine
Medicine & Public Health
Middle Aged
Remission, Spontaneous
Time Factors
Ultrasonography, Interventional - methods
Vascular Diseases - congenital
Vascular Diseases - diagnosis
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Summary:A 62-year-old woman was admitted with chest pain lasting about 3 h. Spontaneous coronary artery dissection (SCAD) was detected in the left anterior descending artery (LAD) by intravascular ultrasound (IVUS). Sixteen days after onset, follow-up computed tomography angiography was performed and revealed shrinkage of the false lumen of the SCAD. On hospital day 22, IVUS image confirmed that the SCAD in the LAD was completely healed. This case shows the possibility of rapid healing of SCAD.
ISSN:1868-4300
1868-4297
DOI:10.1007/s12928-015-0373-x