Case report<br>Spontaneous coronary artery dissection diagnosed by multislice computed tomography

Hakan Gunes; Zekeriya Kucukdurmaz; Emrah Seker; Recep Kurt; İsmail Salk; Hekim Karapinar

doi:10.5114/pwki.2013.34038

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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1/2013
vol. 9

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abstract:

Case report
Spontaneous coronary artery dissection diagnosed by multislice computed tomography

Hakan Gunes

,

Zekeriya Kucukdurmaz

,

Emrah Seker

,

Recep Kurt

,

İsmail Salk

,

Hekim Karapinar

Postep Kardiol Inter 2013; 9, 1 (31): 111–113

DOI: https://doi.org/10.5114/pwki.2013.34038

Online publish date: 2013/03/21

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Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. Spontaneous coronary artery dissection can cause stable angina pectoris, unstable angina pectoris, acute myocardial infarction, cardiogenic shock and sudden cardiac death. It usually occurs in young to middle aged women. Atherosclerosis, peripartum period, and structural and inflammatory diseases affecting the artery wall are predisposing factors. It shows similar clinical presentation to coronary artery disease. Diagnosis and early treatment decrease mortality. Treatment options are medical treatment, percutaneous coronary intervention and surgery. The treatment decision is made according to the clinical presentation of the patient, the affected coronary artery and the length of the dissected segment. Diagnosis of the disease is usually made by coronary angiography. We present a patient who consulted our clinic with atypical chest pain and was diagnosed with spontaneous left anterior descending dissection by coronary computed tomography angiography.

keywords:

Case reportSpontaneous coronary artery dissection diagnosed by multislice computed tomography

Hakan Gunes , Zekeriya Kucukdurmaz , Emrah Seker , Recep Kurt , İsmail Salk , Hekim Karapinar

spontaneous coronary artery dissection, computed tomography, angiography

Case report
Spontaneous coronary artery dissection diagnosed by multislice computed tomography

Hakan Gunes

,

Zekeriya Kucukdurmaz

,

Emrah Seker

,

Recep Kurt

,

İsmail Salk

,

Hekim Karapinar