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• W3204355168 abstract "HomeRadiologyVol. 302, No. 1 PreviousNext Reviews and CommentaryFree AccessImages in RadiologySpontaneous Coronary Artery DissectionFurkan Ufuk , Ismail Dogu KilicFurkan Ufuk , Ismail Dogu KilicAuthor AffiliationsFrom the Departments of Radiology (F.U.) and Cardiology (I.D.K.), Pamukkale University, School of Medicine, Çamlaralti, Kinikli Yerleşkesi, Üniversite Cd. No. 11, 20160 Pamukkale, Turkey.Address correspondence to F.U. (e-mail: [email protected]).Furkan Ufuk Ismail Dogu KilicPublished Online:Oct 5 2021https://doi.org/10.1148/radiol.2021211385MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In A 41-year-old woman presented with acute-onset chest pain and pressure for 2 hours. Her medical history was unremarkable, and her physical examination and laboratory test results were normal. Electrocardiography showed flattened T waves. Prospective electrocardiography-gated coronary CT angiography showed tapered and smooth luminal narrowing of the proximal left anterior descending coronary artery with intimal disruption and dissection flap, consistent with coronary artery dissection (Figs 1–2). Invasive coronary angiography was used to confirm the diagnosis, which was treated with angioplasty and stent implantation.Figure 1: Curved planar reformatted coronary CT angiogram of left anterior descending coronary artery and magnified image perpendicular to left anterior descending coronary artery show dissection flap, true lumen (solid arrow), false lumen (dashed arrow), perivascular fat stranding, and intramural hematoma (arrowheads).Figure 1:Download as PowerPointOpen in Image Viewer Figure 2: Volume-rendered three-dimensional reconstruction from coronary CT angiogram shows dual lumen appearance (arrow) in proximal left anterior descending coronary artery.Figure 2:Download as PowerPointOpen in Image Viewer Spontaneous coronary artery dissection is the noniatrogenic dissection of a coronary artery not associated with trauma or atherosclerotic disease (1). Spontaneous coronary artery dissection is more common in women under 50 years of age. Coronary CT angiography is an efficient and noninvasive tool for the diagnosis of this condition (2). CT angiographic findings of spontaneous coronary artery dissection include lack of atherosclerotic plaque, intramural hematoma, tapered luminal stenosis or occlusion, dissection flap, and perivascular fat stranding (3).Disclosures of Conflicts of Interest: F.U. disclosed no relevant relationships. I.D.K. disclosed no relevant relationships.References1. Hayes SN, Kim ESH, Saw J, et al. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation 2018;137(19):e523–e557. Crossref, Medline, Google Scholar2. Gupta S, Meyersohn NM, Wood MJ, et al. Role of Coronary CT Angiography in Spontaneous Coronary Artery Dissection. Radiol Cardiothorac Imaging 2020;2(6):e200364. Link, Google Scholar3. Sutil-Vega M, Romeu Vilar D, Barros-Membrilla AJ, Millán X, Hidalgo JA, Pons-Lladó G. Case 270: Spontaneous Coronary Artery Dissection Associated with Fibromuscular Dysplasia. Radiology 2019;293(1):235–240. Link, Google ScholarArticle HistoryReceived: June 2 2021Revision requested: June 11 2021Revision received: June 13 2021Accepted: June 17 2021Published online: Oct 05 2021Published in print: Jan 2022 FiguresReferencesRelatedDetailsCited ByPrediction of Coronary Artery Disease using Artificial Intelligence – A Systematic Literature ReviewRamanathanG., JagadeeshaS. N.2023 | International Journal of Health Sciences and PharmacyRecommended Articles Role of Coronary CT Angiography in Spontaneous Coronary Artery DissectionRadiology: Cardiothoracic Imaging2020Volume: 2Issue: 6Spontaneous Coronary Artery Dissection: An Underdiagnosed Clinical Entity—A Primer for Cardiac ImagersRadioGraphics2021Volume: 41Issue: 7pp. 1897-1915Perivascular Epicardial Fat Stranding at Coronary CT Angiography: A Marker of Acute Plaque Rupture and Spontaneous Coronary Artery DissectionRadiology2018Volume: 287Issue: 3pp. 808-815Thoracic Endovascular Aortic Repair for Chronic Type B Aortic Dissection: Pre- and Postprocedural ImagingRadioGraphics2022Volume: 42Issue: 6pp. 1638-1653Imaging Features of Complications after Coronary Interventions and Surgical ProceduresRadioGraphics2021Volume: 41Issue: 3pp. 699-719See More RSNA Education Exhibits Spontaneous Coronary Artery Dissection (scad): An Uncommon Diagnosis Of A Common PresentationDigital Posters2021Challenges In Diagnosis and Management of Spontaneous Coronary Artery Dissection: Pearls and Pitfalls on CT EvaluationDigital Posters2021The Prevalence And Imaging Features Of Extra-coronary Arteriopathies In Patients With Spontaneous Coronary Artery Dissection. A Case Series.Digital Posters2021 RSNA Case Collection Stanford Type A dissectionRSNA Case Collection2020Intramural hematomaRSNA Case Collection2020Aortopulmonary fistula due to aortic dissection RSNA Case Collection2020 Vol. 302, No. 1 Metrics Altmetric Score PDF download" @default.
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• W3204355168 title "Spontaneous Coronary Artery Dissection" @default.
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