Biomaterial Database

Spontaneous coronary artery dissection evaluated by optical coherence tomography. 2011

Diego Iglesias, and Pablo Salinas, and Santiago Jiménez-Valero

Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain. diego_de_leon@hotmail.com

A 42-year-old woman underwent coronary angiography for acute coronary syndrome. It showed a progressive narrowing from the middle segment of the left anterior descending artery. Optical coherence tomography (OCT) confirmed the angiographic suspicion of spontaneous coronary dissection. OCT also revealed different patterns of subjacent disease, imperceptible to the angiography: areas of intramural hematoma with blood stasis, progressive compromise of the true lumen, and areas with active flow through the false lumen. It also detected the distal guidewire going out from the true to the false lumen, a feature of capital importance to lead an eventual coronary intervention.

UI	MeSH Term	Description	Entries
D011237	Predictive Value of Tests	In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.	Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011379	Prognosis	A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.	Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D003323	Coronary Aneurysm	Abnormal balloon- or sac-like dilatation in the wall of CORONARY VESSELS. Most coronary aneurysms are due to CORONARY ATHEROSCLEROSIS, and the rest are due to inflammatory diseases, such as KAWASAKI DISEASE.	Aneurysm, Coronary,Aneurysms, Coronary,Coronary Aneurysms
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000784	Aortic Dissection	A tear in the inner layer of the AORTA leading to interstitial HEMORRHAGE, and splitting (dissecting) of the aortic TUNICA MEDIA layer. It typically begins with a tear in the TUNICA INTIMA layer.	Aneurysm, Dissecting,Aortic Dissecting Aneurysm,Dissecting Aneurysm,Dissecting Aneurysm Aorta,Aneurysm Aorta, Dissecting,Aneurysm, Aortic Dissecting,Aorta, Dissecting Aneurysm,Aortic Dissecting Aneurysms,Aortic Dissections,Dissecting Aneurysm Aortas,Dissecting Aneurysm, Aortic,Dissecting Aneurysms,Dissection, Aortic
D013997	Time Factors	Elements of limited time intervals, contributing to particular results or situations.	Time Series,Factor, Time,Time Factor
D017023	Coronary Angiography	Radiography of the vascular system of the heart muscle after injection of a contrast medium.	Angiography, Coronary,Angiographies, Coronary,Coronary Angiographies
D041623	Tomography, Optical Coherence	An imaging method using LASERS that is used for mapping subsurface structure. When a reflective site in the sample is at the same optical path length (coherence) as the reference mirror, the detector observes interference fringes.	OCT Tomography,Optical Coherence Tomography,Coherence Tomography, Optical,Tomography, OCT