Spontaneous coronary artery dissection CT

Spontaneous Coronary Artery Dissection Microchapters
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Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Spontaneous coronary artery dissection from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Approach
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Angiography
CT
MRI
Echocardiography
Other Imaging Findings
Other Diagnostic Studies
Treatment
Treatment Approach
Medical Therapy
Percutaneous Coronary Intervention
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Type 1 Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Case 7 Type 2A Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Type 2B Case 1 Case 2 Case 3 Case 4 Type 3 Case 1 Case 2 Case 3 Case 4 Case 5 Case 6

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