Separation occurring in outer 1/3 of tunica media and intramural hematoma (IMH) occupying dissection and compressing true lumen, leading to coronary insufficiency
IMAGING
General Features
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Intracoronary Imaging
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Hayes SN et al: Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 137(19):e523-57, 2018
Tan NY et al: Usefulness of cardiac magnetic resonance imaging in patients with acute spontaneous coronary artery dissection. Am J Cardiol. 122(10):1624-29, 2018
Tweet MS et al: Spontaneous coronary artery dissection: acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2048872617753799, 2018
Yeo I et al: Spontaneous coronary artery dissection: diagnosis and management. Curr Treat Options Cardiovasc Med. 20(3):27, 2018
Tweet MS et al: Multimodality imaging for spontaneous coronary artery dissection in women. JACC Cardiovasc Imaging. 9(4):436-50, 2016
Bashir M et al: Cardiac transplantation for spontaneous coronary artery dissection. Interact Cardiovasc Thorac Surg. 16(1):91-2, 2013
Hoshi T et al: Multimodality intracoronary imaging in spontaneous coronary artery dissection: impacts of intravascular ultrasound, optical coherence tomography, and coronary angioscopy. Catheter Cardiovasc Interv. 81(3):E151-4, 2013
Nakashima T et al: Detection of intramural hematoma and serial non-contrast T1-weighted magnetic resonance imaging findings in a female patient with spontaneous coronary artery dissection. Circ J. 77(11):2844-5, 2013
Sheikh AS et al: Pregnancy-related spontaneous coronary artery dissection: two case reports and a comprehensive review of literature. Heart Views. 13(2):53-65, 2012
Ohlmann P et al: Images in cardiovascular medicine. Spontaneous coronary dissection: computed tomography appearance and insights from intravascular ultrasound examination. Circulation. 113(10):e403-5, 2006
Tepe SM et al: MRI demonstration of acute myocardial infarction due to posttraumatic coronary artery dissection. Int J Cardiovasc Imaging. 22(1):97-100, 2006
van Gaal WJ 3rd et al: Treatment of spontaneous coronary dissection with drug-eluting stents--late clinical, angiographic and IVUS follow up. J Invasive Cardiol. 18(2):E93-4, 2006
Chai HT et al: Utilization of a double-wire technique to treat long extended spiral dissection of the right coronary artery. Evaluation of incidence and mechanisms. Int Heart J. 46(1):35-44, 2005
Justice LT et al: Left main dissection and thrombosis in a young athlete. Cardiol Rev. 13(5):260-2, 2005
Porto I et al: Intravascular ultrasound imaging in the diagnosis and treatment of spontaneous coronary dissection with drug-eluting stents. J Invasive Cardiol. 16(2):78-80, 2004
Rogers JH et al: Coronary artery dissection and perforation complicating percutaneous coronary intervention. J Invasive Cardiol. 16(9):493-9, 2004
Kwong RY et al: Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging. Circulation. 107(4):531-7, 2003
Badmanaban B et al: Spontaneous coronary artery dissection presenting as cardiac tamponade. Ann Thorac Surg. 73(4):1324-6, 2002
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
Separation occurring in outer 1/3 of tunica media and intramural hematoma (IMH) occupying dissection and compressing true lumen, leading to coronary insufficiency
IMAGING
General Features
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Intracoronary Imaging
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Hayes SN et al: Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 137(19):e523-57, 2018
Tan NY et al: Usefulness of cardiac magnetic resonance imaging in patients with acute spontaneous coronary artery dissection. Am J Cardiol. 122(10):1624-29, 2018
Tweet MS et al: Spontaneous coronary artery dissection: acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2048872617753799, 2018
Yeo I et al: Spontaneous coronary artery dissection: diagnosis and management. Curr Treat Options Cardiovasc Med. 20(3):27, 2018
Tweet MS et al: Multimodality imaging for spontaneous coronary artery dissection in women. JACC Cardiovasc Imaging. 9(4):436-50, 2016
Bashir M et al: Cardiac transplantation for spontaneous coronary artery dissection. Interact Cardiovasc Thorac Surg. 16(1):91-2, 2013
Hoshi T et al: Multimodality intracoronary imaging in spontaneous coronary artery dissection: impacts of intravascular ultrasound, optical coherence tomography, and coronary angioscopy. Catheter Cardiovasc Interv. 81(3):E151-4, 2013
Nakashima T et al: Detection of intramural hematoma and serial non-contrast T1-weighted magnetic resonance imaging findings in a female patient with spontaneous coronary artery dissection. Circ J. 77(11):2844-5, 2013
Sheikh AS et al: Pregnancy-related spontaneous coronary artery dissection: two case reports and a comprehensive review of literature. Heart Views. 13(2):53-65, 2012
Ohlmann P et al: Images in cardiovascular medicine. Spontaneous coronary dissection: computed tomography appearance and insights from intravascular ultrasound examination. Circulation. 113(10):e403-5, 2006
Tepe SM et al: MRI demonstration of acute myocardial infarction due to posttraumatic coronary artery dissection. Int J Cardiovasc Imaging. 22(1):97-100, 2006
van Gaal WJ 3rd et al: Treatment of spontaneous coronary dissection with drug-eluting stents--late clinical, angiographic and IVUS follow up. J Invasive Cardiol. 18(2):E93-4, 2006
Chai HT et al: Utilization of a double-wire technique to treat long extended spiral dissection of the right coronary artery. Evaluation of incidence and mechanisms. Int Heart J. 46(1):35-44, 2005
Justice LT et al: Left main dissection and thrombosis in a young athlete. Cardiol Rev. 13(5):260-2, 2005
Porto I et al: Intravascular ultrasound imaging in the diagnosis and treatment of spontaneous coronary dissection with drug-eluting stents. J Invasive Cardiol. 16(2):78-80, 2004
Rogers JH et al: Coronary artery dissection and perforation complicating percutaneous coronary intervention. J Invasive Cardiol. 16(9):493-9, 2004
Kwong RY et al: Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging. Circulation. 107(4):531-7, 2003
Badmanaban B et al: Spontaneous coronary artery dissection presenting as cardiac tamponade. Ann Thorac Surg. 73(4):1324-6, 2002
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