EuroPCR2026-images-105342-What-lies-behind-deceptive-circumflex-narrowing

What is the diagnosis?

Plaque erosion with mural thrombus

Spontaneous coronary artery dissection with intramural hematoma

Diffuse atherosclerotic narrowing of a tortuous LCx

Correct! The correct answer is "Spontaneous coronary artery dissection with intramural hematoma".

OCT confirmed SCAD by demonstrating true–false lumen separation and intramural hematoma in the tortuous LCx. The absence of ongoing ischemia favored conservative treatment.

Good try! The correct answer is "Spontaneous coronary artery dissection with intramural hematoma".

OCT confirmed SCAD by demonstrating true–false lumen separation and intramural hematoma in the tortuous LCx. The absence of ongoing ischemia favored conservative treatment.

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