1. Intracoronary optical coherence tomography assessment of spontaneous coronary artery dissection

    Optical coherence tomography (OCT; ImageWire, LightLab Imaging, Westford, Massachusetts, USA) is an imaging modality with a high resolution of about 10–20 µm, and can visualise the intima, media and adventitia as well as the histological examination. A 40-year-old woman was admitted with sudden-onset chest pain at rest. She had no collagen tissue disease, no trauma, no Marfan’s syndrome and Ehlers–Danlos syndrome on physical examination and no risk factors for coronary artery disease. Her admission electrocardiogram showed ST-segment depression in II, III, aVF and V4–6 leads. Coronary angiography demonstrated an ulcer-like contrast staining (arrow head) and diffuse ...
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