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RESEARCH PRODUCT

Coronary artery dissection. Follow-up by MDCT.

Jordi EstornellJuan V. VilarFrancisco Ridocci-soriano

subject

Coronary angiographyAged 80 and overMalemedicine.medical_specialtybusiness.industryFalse lumenGeneral MedicineDissection (medical)Coronary Artery Diseasemedicine.diseaseChest painCoronary thrombuscardiovascular systemmedicineHumansStentscardiovascular diseasesRadiologyThrombusmedicine.symptombusinessArtery dissectionTomography X-Ray ComputedSurgical revascularization

description

and a feature consistent with a thrombus, probably located in the false lumen (Figure, D). Based on these findings, a new coronary angiography with possible surgical revascularization was planned, but 12 hours after the MDCT examination, the patient experienced an episode of chest pain with ST-segment elevation from V1 to V5, complicated by electromechanical dissociation, and culminating in death. A post-mortem study was not performed. This case illustrates the usefulness of MDCT for follow-up of coronary stents located in proximal segments, and for identifying specific complications: extension of a dissection and even visualization of a coronary thrombus.

yearjournalcountryeditionlanguage
2009-08-01Revista espanola de cardiologia
10.1016/s1885-5857(09)72657-xhttps://pubmed.ncbi.nlm.nih.gov/19706248