Buccheri Dario, Milazzo Diego, Geraci Salvatore, Vaccaro Giovanni, Caramanno Giuseppe
Interventional Cardiology, San Giovanni di Dio Hospital, Agrigento, Italy.
J Thorac Dis. 2017 Dec;9(12):5363-5367. doi: 10.21037/jtd.2017.10.146.
Spontaneous coronary artery dissection (SCAD) is still today an underdiagnosed disease due to the absence of angiographic hallmarks in more than 70% of cases. In several cases, an intravascular imaging is a sole tool for recognizing a dissection. Particularly, optical coherence tomography analysis (OCT) could represent the gold standard technique of easy interpretation and prompt diagnosis. Here we present a rare case of multivessel spontaneous coronary artery disease (SCAD) with atypical collateral circulation.
自发性冠状动脉夹层（SCAD）如今仍是一种诊断不足的疾病，因为超过70%的病例缺乏血管造影特征。在一些病例中，血管内成像技术是识别夹层的唯一手段。特别是，光学相干断层扫描分析（OCT）可能是易于解读和快速诊断的金标准技术。在此，我们报告一例罕见的多支血管自发性冠状动脉疾病（SCAD）伴非典型侧支循环的病例。
