Associated vascular lesions in patients with spontaneous coronary artery dissection.
Associated vascular lesions in patients with spontaneous coronary artery dissection.
复制标题
自发性冠状动脉夹层患者的相关血管病变。
作者：
S. Toggweiler;M. Puck;C. Thalhammer;R. Manka;M. Wyss;D. Bilecen;R. Corti;B. Amann;T. Lüscher;C. Wyss
目的
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.
DOI：
10.2215/cjn.07641009
发表时间：
2010-03-01
影响因子：
9.8
作者：
Lorenz, Elizabeth C.;Vrtiska, Terri J.;Rule, Andrew D.
通讯作者：
Rule, Andrew D.