EuroPCR2026-images-89333-Intravascular-ultrasound-(IVUS)-LAD

What is the most likely diagnosis?
Atherosclerotic plaque rupture with thrombotic occlusion of the LAD
Spontaneous coronary artery dissection (SCAD) with intramural haematoma
Coronary embolism causing distal LAD occlusion
Correct! The correct answer is "Spontaneous coronary artery dissection (SCAD) with intramural haematoma".
 
Large intramural haematoma compressing the true lumen without significant atherosclerosis — typical of SCAD. SCAD commonly occurs in middle-aged females without traditional risk factors Often triggered by physical or emotional stress (including surgery)

 
Good try! The correct answer is "Spontaneous coronary artery dissection (SCAD) with intramural haematoma".
 
Large intramural haematoma compressing the true lumen without significant atherosclerosis — typical of SCAD. SCAD commonly occurs in middle-aged females without traditional risk factors Often triggered by physical or emotional stress (including surgery)
 
 
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