Spontaneous coronary artery dissection CT
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2]
Synonyms and keywords: SCAD
Overview
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.
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.
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