TITLE:
Angiocoronary Ambiguity in a 43-Year-Old Patient with Ambulatory Necrosis: Determining Role of Endocoronary Imaging
AUTHORS:
Kaziga Wiyaou Dieu-Donne, Irakoze Jean Bertrand, Sodou Laou-Abalo, Afassinou Yaovi Mignazonzon, Pessinaba Soulemane, Pio Machihude, Diallo Nouhoum, Keita Alfousseyni, Ehinou Ekua Christine, Chanseaume Sylvain
KEYWORDS:
Lotus Root, Optical Coherence Tomography, Angioplasty
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.15 No.10,
October
21,
2025
ABSTRACT: Background: Atherosclerosis is a dynamic process that begins early in childhood, with a slow progression that makes acute coronary syndrome an unusual entity in young people. Undetected ambulatory necrosis in young subjects may lead to an inappropriate decision in coronary angiography management. The aim of our case report is to highlight the importance of endo-coronary imaging in the management of coronary artery disease. Case Presentation: We report on the case of a young patient of 43 years old scheduled for a diagnostic coronary angiography due to a modified electrocardiogram. As the coronary appearance was in favor of spontaneous dissection of the left anterior descending artery, endocoronary imaging by optical coherence tomography was performed, highlighting an appearance of LOTUS ROOT. This has made it possible to adapt the therapeutic care. Conclusion: This case highlights the importance of endocoronary imaging in the management of ambiguity in angiocoronary imaging.