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

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

Institution

Cardiovascular Center, Cardiology, University Hospital Zurich, Switzerland.

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