{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:48:39Z","timestamp":1740181719896,"version":"3.37.3"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>According to 2023 ESC Guideline, conservative medical management is generally recommended for the treatment of spontaneous coronary artery dissection (SCAD) except for patients with signs of ongoing myocardial ischemia. However, in some cases, invasive treatment (coronary artery bypass graft surgery or percutaneous coronary intervention (PCI)) is performed because of the progression of aneurysm in SCAD. Although there is no established strategy for the management of coronary aneurysm in SCAD, we report a case of successful healing of aneurysmal false lumen (AFL) using a second-generation drug-eluting stent (DES) in SCAD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 44-year-old woman without any cardiovascular risk factors was transferred to our hospital due to inferior myocardial infarction. Coronary angiography (CAG) showed multiple SCADs in the coronary artery. We performed PCI to the distal right coronary artery (RCA) because the RCA showed severe stenosis (99%) with bradycardia. Six days after the first PCI, SCAD relapsed in the mid left anterior descending artery (LAD). Furthermore, AFL was observed by intravascular ultrasound imaging. To avoid enlargement of the AFL and progression of the dissection toward the proximal site of the LAD, we performed PCI to the mid LAD to seal the entry tear of the dissection using a second-generation DES. CAG revealed that the AFL in the mid LAD completely diminished at 1\u00a0year after PCI.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The implantation of a second-generation DES might be one of therapeutic options for sealing AFL in SCAD patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00447-9","type":"journal-article","created":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T10:04:17Z","timestamp":1706781857000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful healing of aneurysmal false lumen using a second-generation drug-eluting stent in spontaneous coronary artery dissection: a case report"],"prefix":"10.1186","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9665-4102","authenticated-orcid":false,"given":"Tomiharu","family":"Niida","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kikuo","family":"Isoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miho","family":"Tada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Kitahara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Fujino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,1]]},"reference":[{"issue":"3","key":"447_CR1","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1177\/2048872613504310","volume":"5","author":"T Nishiguchi","year":"2016","unstructured":"Nishiguchi T, Tanaka A, Ozaki Y, Taruya A, Fukuda S, Taguchi H et al (2016) Prevalence of spontaneous coronary artery dissection in patients with acute coronary syndrome. Eur Heart J Acute Cardiovasc Care 5(3):263\u2013270","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"7","key":"447_CR2","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1016\/j.cjca.2014.01.011","volume":"30","author":"J Saw","year":"2014","unstructured":"Saw J, Aymong E, Mancini GBJ, Sedlak T, Starovoytov A, Ricci D (2014) Nonatherosclerotic coronary artery disease in young women. Can J Cardiol 30(7):814\u2013819","journal-title":"Can J Cardiol"},{"issue":"9","key":"447_CR3","doi-asserted-by":"publisher","first-page":"1148","DOI":"10.1016\/j.jacc.2017.06.053","volume":"70","author":"J Saw","year":"2017","unstructured":"Saw J, Humphries K, Aymong E, Sedlak T, Prakash R, Starovoytov A et al (2017) Spontaneous coronary artery dissection: clinical outcomes and risk of recurrence. J Am Coll Cardiol 70(9):1148\u20131158","journal-title":"J Am Coll Cardiol"},{"key":"447_CR4","doi-asserted-by":"crossref","unstructured":"Byrne RA, Rossello X, Coughlan JJ, Barbato E, Berry C, Chieffo A, et al (2023) 2023 ESC Guidelines for the management of acute coronary syndromes: developed by the task force on the management of acute coronary syndromes of the European society of cardiology (ESC). Eur Heart J, ehad191","DOI":"10.1093\/eurheartj\/ehad863"},{"key":"447_CR5","doi-asserted-by":"publisher","first-page":"6686230","DOI":"10.1155\/2021\/6686230","volume":"2021","author":"S Hassan","year":"2021","unstructured":"Hassan S, Samuel R, Starovoytov A, Lee C, Aymong E, Saw J (2021) Outcomes of percutaneous coronary intervention in patients with spontaneous coronary artery dissection. J Interv Cardiol 2021:6686230","journal-title":"J Interv Cardiol"},{"issue":"6","key":"447_CR6","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1016\/j.ihj.2018.01.004","volume":"70","author":"SP Valappil","year":"2018","unstructured":"Valappil SP, Iype M, Viswanathan S, Koshy AG, Gupta PN, Velayudhan RV (2018) Coronary angioplasty in spontaneous coronary artery dissection-strategy and outcomes. Indian Heart J 70(6):843\u2013847","journal-title":"Indian Heart J"},{"issue":"3","key":"447_CR7","volume":"13","author":"R Moghadam","year":"2021","unstructured":"Moghadam R, Rahman T, Reiss CK (2021) Complicated spontaneous coronary artery dissection (SCAD) culminating in aneurysm formation: coronary artery bypass graft surgery is preferable over percutaneous coronary intervention in peripartum SCAD. Cureus 13(3):e14145","journal-title":"Cureus"},{"issue":"2","key":"447_CR8","doi-asserted-by":"publisher","first-page":"195.e3","DOI":"10.1016\/j.ajem.2013.09.023","volume":"32","author":"JG Nie","year":"2014","unstructured":"Nie JG, Jian-Zeng Dong JZ (2014) Spontaneous coronary artery dissection and pseudoaneurysm: a case report. Am J Emerg Med 32(2):195.e3\u20134","journal-title":"Am J Emerg Med"},{"issue":"3","key":"447_CR9","doi-asserted-by":"publisher","first-page":"165","DOI":"10.4103\/heartviews.heartviews_41_22","volume":"23","author":"SD Subbramaniyam","year":"2022","unstructured":"Subbramaniyam SD, Yousif N, Shivappa S, Noor HA, AbdulQader F (2022) Pregnancy-related spontaneous coronary artery pseudoaneurysm healed by medical treatment guided by optical coherence tomography. Heart Views 23(3):165\u2013168","journal-title":"Heart Views"},{"key":"447_CR10","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1186\/1749-8090-4-15","volume":"4","author":"S Rahman","year":"2009","unstructured":"Rahman S, Abdul-Waheed M, Helmy T, Huffman LC, Koshal V, Guitron J et al (2009) Spontaneous left main coronary artery dissection complicated by pseudoaneurysm formation in pregnancy: role of CT coronary angiography. J Cardiothorac Surg 4:15","journal-title":"J Cardiothorac Surg"},{"issue":"6","key":"447_CR11","doi-asserted-by":"publisher","first-page":"W660","DOI":"10.2214\/AJR.06.0783","volume":"187","author":"P Chabrot","year":"2006","unstructured":"Chabrot P, Motreff P, Boyer L (2006) Postpartum spontaneous coronary artery dissection: a case of pseudoaneurysm evolution detected on MDCT. 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