Korean Circ J.  2020 Feb;50(2):179-181. 10.4070/kcj.2019.0313.

A Characteristic Finding of Spontaneous Coronary Artery Dissection by Computed Tomographic Angiography

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. pilmo11@hanmail.net
  • 2Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

No abstract available.


MeSH Terms

Angiography*
Coronary Vessels*

Figure

  • Figure 1 Initial coronary computed tomographic angiography images. (A) Curved planar reconstruction image of the left anterior descending artery, demonstrating a long segmental (30 mm) and smooth narrowing at the midportion. (B) Cross-sectional images at the stenotic segment. Note the crescent-shaped lumen at the distal part of the segment. (C) Schematic images distinguishing the true and false lumens at the corresponding levels.

  • Figure 2 Baseline coronary angiography and intravascular ultrasound images. The intravascular ultrasound image demonstrates the double-lumen appearance of the vessel with the dissection membrane and darker thrombosed false lumen (asterisk).

  • Figure 3 Coronary computed tomographic angiography image after 3 months shows complete resolution of the dissection.


Reference

1. Saw J, Mancini GB, Humphries KH. Contemporary review on spontaneous coronary artery dissection. J Am Coll Cardiol. 2016; 68:297–312.
Article
2. Tweet MS, Gulati R, Williamson EE, Vrtiska TJ, Hayes SN. Multimodality imaging for spontaneous coronary artery dissection in women. JACC Cardiovasc Imaging. 2016; 9:436–450.
Article
3. Russo V, Marrozzini C, Zompatori M. Spontaneous coronary artery dissection: role of coronary CT angiography. Heart. 2013; 99:672–673.
Article
4. Torres-Ayala SC, Maldonado J, Bolton JS, Bhalla S. Coronary computed tomography angiography of spontaneous coronary artery dissection: a case report and review of the literature. Am J Case Rep. 2015; 16:130–135.
Article
5. Roura G, Ariza-Solé A, Rodriguez-Caballero IF, et al. Noninvasive follow-up of patients with spontaneous coronary artery dissection with CT angiography. JACC Cardiovasc Imaging. 2016; 9:896–897.
Article
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