Imaging diagnosis of spontaneous coronary artery dissection
DOI:
https://doi.org/10.37615/retic.v3n2a5Keywords:
acute coronary syndrome, spontaneous coronary artery dissection, diagnosis.Abstract
Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome (ACS), which requires a specific diagnostic workup and therapeutic management. Coronary angiography is the preferred technique for the diagnosis of SCAD. However, its inability to characterize the artery wall emphasizes the need of other imaging techniques, such as intracoronary imaging or coronary CT angiography. We present a case report of a young postpartum woman with preeclampsia who developed an ACS due to a spontaneous coronary artery dissection. In this case we demonstrate the clinical value of different imaging techniques.
Downloads
Metrics
References
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.
Adlam D, Alfonso F, Maas AH, et al. European Society of Cardiology, acute cardiovascular care association, SCAD study group: a position paper on spontaneous coronary artery dissection. Eur Heart J 2018; 39 (36): 3353-3368.
Tweet MS, Hayes SN, Gulati R, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation 2012; 126 (5): 579-588.
Adlam D, García-Guimaraes M, Maas AHEM. Spontaneous coronary artery dissection: no longer a rare disease. Eur Heart J 2019; 40 (15): 1198-1201.
Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv 2014; 84 (7): 1115-1122.
Tweet MS, Akhtar NJ, Hayes SN, et al. Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care 2019; 8 (5): 467-475.
Saw J, Starovoytov A, Humphries K, et al. Canadian spontaneous coronary artery dissection cohort study: in hospital and 30-day outcomes. Eur Heart J 2020; 40 (15): 1188-1197.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Javier Ibero Valencia, Ana De la Fuente, José Calabuig Nogués, Juan José Gavira Gómez, Gorka Bastarrika Alemañ
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:
- Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
- Non-commercial: you may not use the material for commercial purposes.
- No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
- No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.
