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The Egyptian Heart Journal
Fig. 3 | The Egyptian Heart Journal

Fig. 3

From: Successful healing of aneurysmal false lumen using a second-generation drug-eluting stent in spontaneous coronary artery dissection: a case report

Fig. 3

Sealing of the AFL with a second-generation DES in the mid LAD. A. Six days after the first percutaneous coronary intervention (PCI), electrocardiogram showed ST-elevation in lateral leads (I and aVL). B Coronary angiography (CRA 30°) showed a new appearance of aneurysmal protrusion in the mid left anterior descending artery (LAD) (red arrow) and elongation of the dissection to the proximal LAD (yellow arrows). C Intravascular ultrasound imaging of aneurysmal false lumen (AFL) in the mid LAD. Blue arrowheads indicate intimal and medial tear of the coronary artery wall. A continuous blood flow signal was observed in the AFL (red arrows). Blue dotted line indicates the adventitia of the coronary artery. D Blood flow in AFL decreased just after stent deployment (red arrow). CRA: Cranial, DES: Drug-eluting stent, D2: Second diagonal branch, LAD: Left anterior descending artery

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