Coronary computed tomography angiography of spontaneous coronary artery dissection: a case report and review of the literature

The American Journal of Case Reports
Stephanie C Torres-AyalaSanjeev Bhalla

Abstract

Multidetector computed tomography (MDCT) has gained wide acceptance in the evaluation of the cardiovascular system. Of particular clinical interest is its ability to non-invasively evaluate coronary arteries in patients presenting to the emergency room. In acute coronary syndromes, myocardial ischemia is most often caused by atherosclerosis. We present a case of a rare cause of acute coronary syndrome, spontaneous coronary artery dissection (SCAD), which was initially evaluated with MDCT and followed by intravascular ultrasound (IVUS) and invasive coronary angiography (ICA). We discuss the findings and role of each modality with particular attention to coronary computed tomographic angiography (CCTA) in the diagnosis and management of SCAD. As the use of CCTA in the emergency department continues to rise, radiologists must become familiar with CT appearance of SCAD. We report the multidetector computed tomography (MDCT), intravascular ultrasound (IVUS), and invasive coronary angiography (ICA) findings in a case of spontaneous coronary artery dissection of the left anterior descending artery in a previously healthy 23-year-old man. The role of coronary computed tomographic angiography (CCTA) in diagnosis and management of this p...Continue Reading

References

Feb 12, 2002·The American Journal of Cardiology·Akiko MaeharaNeil J Weissman
May 12, 2004·The American Journal of Cardiology·Branislav SchifferdeckerBonnie H Weiner
Nov 9, 2005·International Journal of Cardiology·Ramesh M GowdaIjaz A Khan
Mar 11, 2008·Seminars in Roentgenology·Smita Patel, Sivan Lieberman
Jun 3, 2008·Cardiovascular Ultrasound·Jayanth R ArnoldAdrian P Banning
Jun 21, 2008·Seminars in Ultrasound, CT, and MR·Catherine M JonesThanos Athanasiou
Jun 21, 2008·Seminars in Ultrasound, CT, and MR·Catherine M JonesThanos Athanasiou
Jun 12, 2013·JACC. Cardiovascular Imaging·Manuel PauloFernando Alfonso
Aug 21, 2014·Circulation. Cardiovascular Interventions·Mackram F EleidRajiv Gulati

❮ Previous
Next ❯

Citations

Apr 9, 2016·JACC. Cardiovascular Imaging·Marysia S TweetSharonne N Hayes
Feb 1, 2017·European Heart Journal. Acute Cardiovascular Care·Mackram F EleidRajiv Gulati
Apr 2, 2017·Heart·Abtehale Al-Hussaini, David Adlam
Oct 28, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Shih-Jen Tsai
Jul 16, 2020·Curēus·Neil P LarsonLloyd Tannenbaum
Mar 20, 2018·Current Treatment Options in Cardiovascular Medicine·Ilhwan YeoLuke K Kim
Sep 21, 2020·Current Problems in Diagnostic Radiology·Mnahi Bin SaeedanMichael Bolen

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection
dissections

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.