PMC4185157_01
Angiographic image of right coronary artery demonstrating diffuse luminal irregularities and double lumen (indicated by black arrows) diagnostic of spontaneous coronary artery dissection.
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F0001
There was a 70% stenosis in the proximal RCA and diffuse luminal irregularities of the vessel (Fig. 1).
PMC4185157_02
Angiographic image demonstrating left anterior descending artery with 20% stenosis in the mid-section. Black arrow indicates area where the contrast was seen to swirl and stay longer than usual, consistent with self-limiting spontaneous coronary artery dissection.
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F0002
Patient was found to have a 20% stenosis in mid-LAD (Fig. 2).
(Left-hand panel) Optical coherence tomography image of the left anterior descending artery demonstrating intimal tear (indicated by white arrow). (Right-hand panel) Optical coherence tomography image of the left anterior descending artery demonstrating intramural hematoma (asterisk) compromising the true lumen.
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F0003
Additionally, OCT was performed and did not show any large dissection (Fig. 3).
PMC4185157_03
Angiographic view of left anterior descending artery with delayed clearing of the contrast suggesting spontaneous coronary artery dissection (indicated by black arrow).
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F0004
The LAD artery did have a 10% stenotic lesion at the midpoint (Fig. 4).
Optical coherence tomography image of the left anterior descending artery demonstrating intimal flap (indicated by white arrow).
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F0005
An OCT revealed an isolated limited dissection composed of only the intimal layer (Fig. 5).