Unbound MEDLINE

Associated vascular lesions in patients with spontaneous coronary artery dissection.

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.

Links

  • FREE Publisher Full Text
  • Authors

    Toggweiler S, Puck M, Thalhammer C, Manka R, Wyss M, Bilecen D, Corti R, Amann-Vesti BR, Lüscher TF, Wyss CA

    Source

    Swiss medical weekly 142: 2012 pg w13538

    MeSH

    Adult
    Aged
    Aneurysm, Dissecting
    Carotid Arteries
    Coronary Aneurysm
    Coronary Angiography
    Diagnosis, Differential
    Female
    Fibromuscular Dysplasia
    Follow-Up Studies
    Humans
    Magnetic Resonance Angiography
    Male
    Middle Aged
    Renal Artery
    Retrospective Studies
    Ultrasonography, Doppler, Duplex
    Whole Body Imaging

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    22389212