A case of recurrent unstable angina - Insight from optical coherence tomography imaging

Suma M Victor; Vijayakumar Subban; Nandhini Jayakumar; Ajit S Mullasari

doi:10.1016/j.ihj.2016.07.001

A case of recurrent unstable angina - Insight from optical coherence tomography imaging

Indian Heart J. 2016 Sep-Oct;68(5):716-717. doi: 10.1016/j.ihj.2016.07.001. Epub 2016 Jul 12.

Authors

Suma M Victor¹, Vijayakumar Subban², Nandhini Jayakumar³, Ajit S Mullasari²

Affiliations

¹ Institute of Cardiovascular Diseases, Madras Medical Mission, 4-A, JJ Nagar, Mogappair East, Chennai 37, India. Electronic address: [email protected].
² Institute of Cardiovascular Diseases, Madras Medical Mission, 4-A, JJ Nagar, Mogappair East, Chennai 37, India.
³ Indian Cardiology Research Foundation Core Laboratory, Madras Medical Mission, 4-A, JJ Nagar, Mogappair East, Chennai 37, India.

Abstract

Intimal tear is a rare cause of ACS and is angiographically indistinguishable. OCT provides unprecendented insight to the mechanism of ACS with its near tissue level definition. This is a case of unstable angina with non-significant RCA lesion. OCT showed intimal tear/flaps with evidence of thrombi, thus clinching the diagnosis.

Keywords: Acute coronary syndrome; Intimal tear; Optical coherence; Tomography.

Publication types

Case Reports
Letter
Video-Audio Media

MeSH terms

Angina, Unstable / diagnosis*
Coronary Angiography
Coronary Vessels / diagnostic imaging*
Electrocardiography
Humans
Male
Middle Aged
Tomography, Optical Coherence / methods*