Associated vascular lesions in patients with spontaneous coronary artery dissection

Open access
Autor(in)
Toggweiler, Stefan
Puck, Marietta
Thalhammer, Christoph
Manka, Robert
Wyss, Michael
Bilecen, Deniz
Corti, Roberto
Amann-Vesti, Beatrice R.
Lüscher, Thomas F.
Wyss, Christophe A.
Datum
2012-03-02Typ
- Journal Article
Abstract
AIM: To identify vascular abnormalities in patients presenting with spontaneous coronary artery dissection (SCAD).
METHODS: We performed a whole-body MR angiography and a duplex sonography of the renal and carotid arteries in 12 patients (9 women, 3 men) with SCAD to identify vascular abnormalities.
RESULTS: MR angiography revealed abnormalities of the renal arteries in 3/12 patients (25%). All 3 patients were women, 2 presented with changes suggesting fibromuscular dysplasia (FMD), 1 had a spontaneous renal artery dissection. No other vascular abnormalities were identified in any of the patients. Duplex sonography confirmed MR findings and showed non-significant renal artery stenoses in both patients with FMD.
CONCLUSIONS: Abnormalities of the renal arteries were found in 3/12 (25%) of the patients with SCAD. No other vascular abnormalities were identified. Additional diagnostic tests of the renal arteries such as renal artery angiography or duplex sonography may be considered in patients presenting with SCAD Mehr anzeigen
Persistenter Link
https://doi.org/10.3929/ethz-b-000061471Publikationsstatus
publishedZeitschrift / Serie
Swiss Medical WeeklyBand
Seiten / Artikelnummer
Verlag
EMH, Schweizerischer Ärzte-Verlag AGThema
Dissection; Fibromuscular dyplasia; Acute coronary syndromes; Women; Myocardial infarctionOrganisationseinheit
03656 - Bösiger, Peter03628 - Prüssmann, Klaas P. / Prüssmann, Klaas P.