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Abstarct: We present a case of acute coronary syndrome 6 years after successful bioresorbable vascular scaffold (BVS) implantation for right coronary artery spontaneous coronary artery dissection (SCAD). OCT demonstrated neoatherosclerotic intermediate lesion with organized thrombus, whereas fractional flow reserve documented hemodynamically significant lesion at the place of previous BVS.

Very late coronary thrombosis following bioresorobable vascular scaffold implantation for spontaneous coronary artery dissection