The fate of spontaneous coronary artery dissection: insight from intravascular imaging at a late follow-up

Eurointervention Journal images - Interventional flashlight

Manual thrombectomy was successively performed in both branches and a large abundant red thrombus was removed from the vessel, leading to restoration of normal flow in the distal LAD but not in the Dg1. As the patient still reported chest pain and ST elevation did not normalise, the diagonal branch was treated by 2.5x38 mm everolimus-eluting stent implantation, which led to complete symptom resolution. No additional intervention was performed on the LAD dissection that was treated conservatively.

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