Recanalized Image of a Thrombotic Occlusion: A Lotus Root-Like Panda Face Appearance by Optical Coherence Tomography

In OCT, images of recanalized thrombotic occlusion have a lotus root-like appearance. This is due to septa that divide the lumen into multiple channels that communicate together and converge into a single lumen in the proximal and distal sites of the occlusion. We report a case of a recanalized mid left anterior descending (LAD) occlusion confirmed by OCT, where the lotus root appearance has a delightful panda face.

Author(s):

Michaela B Rehman, Elisa Larrieu-Ardilouze and Sébastien Levesque

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