Percutaneous Coronary Intervention Strategy for Spontaneous Coronary Artery Dissection of Left Main Coronary Artery with Extensive Intramural Hematoma in the Main Side Branch

Figure 2

IVUS images of the left main coronary artery to left anterior descending artery and scheme of IVUS images. (a) IVUS image of the left anterior descending artery showing intramural hematoma (asterisk) compressing the true lumen. (b, b) IVUS images of left anterior descending artery ostium showing intramural hematoma (asterisk). The left circumflex artery and intramural hematoma (sharp) extending to the left circumflex artery can also be observed. (c, c) IVUS image of left main coronary artery bifurcation showing intramural hematoma extension to the left anterior descending artery (asterisk) and left circumflex artery (sharp). (d) IVUS image of left main coronary artery showing intramural hematoma (asterisk) compressing the true lumen. IVUS: intravascular ultrasound; LAD: left anterior descending artery; LCX: left circumflex artery; IMH: intramural hematoma.