EuroPCR2026-images-99013-perfect-surface-hidden-truth

What is the most likely diagnosis?
Coronary thrombus
Intramural hematoma
Plaque rupture
Correct! The correct answer is "Intramural hematoma".
 
Angiography subsequently demonstrated a left main dissection without symptoms or chest pain. OCT imaging revealed a progressively expanding intramural hematoma in the left main coronary artery with intact endothelium. The underlying mechanism was considered to be related to Guidezilla manipulation and/or shockwave therapy.

 
Good try! The correct answer is "Intramural hematoma".
 
Angiography subsequently demonstrated a left main dissection without symptoms or chest pain. OCT imaging revealed a progressively expanding intramural hematoma in the left main coronary artery with intact endothelium. The underlying mechanism was considered to be related to Guidezilla manipulation and/or shockwave therapy.
 
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