title: Coronary dissection healing patterns: from complete resolution to restenosis, insights from optical coherence tomography.
abstract: A 68-year-old patient presented a long, type C coronary dissection after balloon angioplasty of a focal lesion in a distal marginal branch. Due to the small vessel size the dissection was left untreated. At angiographic follow-up the dissection had completely disappeared, but a localised restenosis was found in the proximal vessel. Optical coherence tomography (OCT) confirmed the complete healing of the dissection and revealed a normal vessel wall (restitutio ad integrum). This technique also provided unique insights into the underlying substrate of the proximal restenosis unravelling a complicated plaque with associated thrombus.
authors.affiliation: Interventional Cardiology Department, Cardiovascular Institute, San Carlos University Hospital, Madrid, Spain. falf@hotmail.com
authors.forename: Fernando
authors.initials: F
authors.lastname: Alfonso
authors.forename: Eric
authors.initials: E
authors.lastname: Canales
authors.forename: Jaime
authors.initials: J
authors.lastname: Dutary
authors.forename: Angel
authors.initials: A
authors.lastname: Cruz
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000503:physiopathology; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000503:physiopathology; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000209:etiology*; D003331:Coronary Vessels / Q000293:injuries* / Q000503:physiopathology; D006801:Humans; D008297:Male; D041623:Tomography, Optical Coherence