Diagnóstico por imagen de la disección arterial coronaria espontánea

  1. Ibero Valencia, Javier 1
  2. De la Fuente, Ana 1
  3. Calabuig Nogués, José 1
  4. Gavira Gómez, Juan José 1
  5. Bastarrika Alemañ, Gorka 1
  1. 1 Clínica Universitaria de Navarra
    info

    Clínica Universitaria de Navarra

    Pamplona, España

    ROR https://ror.org/03phm3r45

Journal:
Revista de Ecocardiografía práctica y otras Técnicas de Imagen Cardíaca (RETIC)

ISSN: 2529-976X

Year of publication: 2020

Issue Title: Journal of Practical Echocardiography and Other Cardiac Imaging Techniques

Volume: 3

Issue: 2

Pages: 14-17

Type: Article

DOI: 10.37615/RETIC.V3N2A5 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista de Ecocardiografía práctica y otras Técnicas de Imagen Cardíaca (RETIC)

Sustainable development goals

Abstract

Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome (ACS), which requires a specific diagnostic workup and therapeutic management. Coronary angiography is the preferred technique for the diagnosis of SCAD. However, its inability to characterize the artery wall emphasizes the need of other imaging techniques, such as intracoronary imaging or coronary CT angiography. We present a case report of a young postpartum woman with preeclampsia who developed an ACS due to a spontaneous coronary artery dissection. In this case we demonstrate the clinical value of different imaging techniques.

Bibliographic References

  • Hayes SN, Kim ESH, Saw J, et al. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation 2018; 137 (19): e523-e557.
  • Adlam D, Alfonso F, Maas AH, et al. European Society of Cardiology, acute cardiovascular care association, SCAD study group: a position paper on spontaneous coronary artery dissection. Eur Heart J 2018; 39 (36): 3353-3368.
  • Tweet MS, Hayes SN, Gulati R, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation 2012; 126 (5): 579-588.
  • Adlam D, García-Guimaraes M, Maas AHEM. Spontaneous coronary artery dissection: no longer a rare disease. Eur Heart J 2019; 40 (15): 1198-1201.
  • Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv 2014; 84 (7): 1115-1122.
  • Tweet MS, Akhtar NJ, Hayes SN, et al. Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care 2019; 8 (5): 467-475.
  • Saw J, Starovoytov A, Humphries K, et al. Canadian spontaneous coronary artery dissection cohort study: in hospital and 30-day outcomes. Eur Heart J 2020; 40 (15): 1188-1197.
Data source: Dialnet