A ‘parachute effect’ Mockingly Sealing a Spontaneous Coronary Artery Dissection: What We have Learnt From Intravascular Imaging

Abstract

Spontaneous coronary artery dissection is often underdiagnosed. It accounts for a certain amount of acute coronary syndromes. Intravascular imaging, either intravascular ultrasound or optical coherence tomography, represents a relevant ally for interventional cardiologist. Here we report an intriguing case of spontaneous coronary artery dissection not immediately diagnosed due to the explained parachute effect, managed invasively according to an algorithm previously published, with a good long-term outcome.

Keywords:

• acute coronary syndromes
• endovascular imaging
• optical coherence tomography
• percutaneous coronary interventions
• spontaneous coronary artery dissection

Supplementary data

To view the supplementary data that accompany this paper please visit the journal website at:www.tandfonline.com/doi/full/10.2217/fca-2019-0068

Acknowledgments

We warmly thank A Lombardo (Department of Cardiology, S Antonio Abate Hospital, Trapani) for his friendly help in the text language review and PR Chirco (Intensive Care Department, Policlinico ‘P Giaccone’, Palermo) for her help in the realization of Figure 2.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Ethical conduct of research

The authors state that they have obtained verbal and written informed consent from the patient/patients for the inclusion of their medical and treatment history within this case report.