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Cardiovascular Intervention and Therapeutics
Published in: Cardiovascular Intervention and Therapeutics 1/2017

01-01-2017 | Case Report

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

Authors: Hiroshi Tsutsui, Chiharu Chino, Miho Komatsu, Takahiro Sakai, Kazunori Aizawa, Mafumi Owa

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2017

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Abstract

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.
Literature
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Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126:579–88.CrossRefPubMed
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Nakashima T, Noguchi T, Morita Y, Sakamoto H, Goto Y, Ishihara M, et al. Detection of intramural hematoma and serial non-contrast T1-weighted magnetic resonance imaging findings in a female patient with spontaneous coronary artery dissection. Circ J. 2013;77:2844–5.CrossRefPubMed
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Metadata
Title
Resolution of spontaneous coronary artery dissection within 3 weeks detected by computed tomography angiography and intravascular ultrasound
Authors
Hiroshi Tsutsui
Chiharu Chino
Miho Komatsu
Takahiro Sakai
Kazunori Aizawa
Mafumi Owa
Publication date
01-01-2017
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 1/2017
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-015-0373-x

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