IMR Press / RCM / Volume 18 / Issue 1 / DOI: 10.3909/ricm0856

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on as a courtesy and upon agreement with MedReviews, LLC.

Open Access Case Review
Spontaneous Coronary Artery Dissection: Insights From Histology and Optical Coherence Tomography
Show Less
1 University of Washington Medical Center, Seattle, WA
2 Cedars Sinai Heart Institute, Los Angeles, CA
3 Department of Pathology, Cedars Sinai Medical Center, Los Angeles, CA
Rev. Cardiovasc. Med. 2017, 18(1), 44–52;
Published: 30 March 2017
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.
Myocardial infarction
Optical coherence tomography
Back to top