Associated vascular lesions in patients with spontaneous coronary artery dissection

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 vascul...

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Main Authors: Stefan Toggweiler, Marietta Puck, Christoph Thalhammer, Robert Manka, Michael Wyss, Deniz Bilecen, Roberto Corti, Beatrice R Amann-Vesti, Thomas F Lüscher, Christophe Alain Wyss
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2012-02-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1435
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author Stefan Toggweiler
Marietta Puck
Christoph Thalhammer
Robert Manka
Michael Wyss
Deniz Bilecen
Roberto Corti
Beatrice R Amann-Vesti
Thomas F Lüscher
Christophe Alain Wyss
author_facet Stefan Toggweiler
Marietta Puck
Christoph Thalhammer
Robert Manka
Michael Wyss
Deniz Bilecen
Roberto Corti
Beatrice R Amann-Vesti
Thomas F Lüscher
Christophe Alain Wyss
author_sort Stefan Toggweiler
collection DOAJ
description 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.
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spelling doaj.art-b366563075d24c09889b4367e9e0b8e32024-11-02T08:54:54ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972012-02-01142091010.4414/smw.2012.13538Associated vascular lesions in patients with spontaneous coronary artery dissectionStefan ToggweilerMarietta PuckChristoph ThalhammerRobert MankaMichael WyssDeniz BilecenRoberto CortiBeatrice R Amann-VestiThomas F LüscherChristophe Alain Wyss 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. https://www.smw.ch/index.php/smw/article/view/1435Acute Coronary Syndromesdissectionfibromuscular dyplasiamyocardial infarctionwomen
spellingShingle Stefan Toggweiler
Marietta Puck
Christoph Thalhammer
Robert Manka
Michael Wyss
Deniz Bilecen
Roberto Corti
Beatrice R Amann-Vesti
Thomas F Lüscher
Christophe Alain Wyss
Associated vascular lesions in patients with spontaneous coronary artery dissection
Swiss Medical Weekly
Acute Coronary Syndromes
dissection
fibromuscular dyplasia
myocardial infarction
women
title Associated vascular lesions in patients with spontaneous coronary artery dissection
title_full Associated vascular lesions in patients with spontaneous coronary artery dissection
title_fullStr Associated vascular lesions in patients with spontaneous coronary artery dissection
title_full_unstemmed Associated vascular lesions in patients with spontaneous coronary artery dissection
title_short Associated vascular lesions in patients with spontaneous coronary artery dissection
title_sort associated vascular lesions in patients with spontaneous coronary artery dissection
topic Acute Coronary Syndromes
dissection
fibromuscular dyplasia
myocardial infarction
women
url https://www.smw.ch/index.php/smw/article/view/1435
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