Spontaneous coronary artery dissection CT
Spontaneous Coronary Artery Dissection Microchapters |
Differentiating Spontaneous coronary artery dissection from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A.
Synonyms and keywords: SCAD
Overview
There are no CT scan findings associated with spontaneous coronary artery dissection. However, a CT scan may be helpful in the diagnosis of vascular anomalies associated with SCAD. High resolution computed tomography may be useful in the detection of vascular abnormalities as compared with other noninvasive imaging modalities.
CT
- coronary computed tomography angiography maybe helpful in the diagnosis of spontaneous coronary artery dissection. Findings on coronary computed tomography angiography suggestive of spontaneous coronary artery dissection include:
- Abrupt luminal stenosis of the coronary lumen
- Intramural hematoma
- Tapered luminal stenosis
- Epicardial fat strand
- Coronary tortuosity
- Coronary bridging
- Myocardial hypoperfusion
- Regional wall motion abnormality[1]
References
- ↑ Tweet MS, Akhtar NJ, Hayes SN, Best PJ, Gulati R, Araoz PA (August 2019). "Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography". Eur Heart J Acute Cardiovasc Care. 8 (5): 467–475. doi:10.1177/2048872617753799. PMC 6027604. PMID 29376398.