Marysia S. Tweet, MD, Rajiv Gulati, MD, PhD, Sharonne N. Hayes, MD

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Presentation transcript:

What Clinicians Should Know Αbout Spontaneous Coronary Artery Dissection Marysia S. Tweet, MD, Rajiv Gulati, MD, PhD, Sharonne N. Hayes, MD Mayo Clinic Proceedings Volume 90, Issue 8, Pages 1125-1130 (August 2015) DOI: 10.1016/j.mayocp.2015.05.010 Copyright © 2015 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure A, First diagonal coronary artery appearance suggests intramural hematoma without an obvious intimal flap (arrow) in a 38-year-old woman (patient 1) with acute myocardial infarction (MI). B, Optical coherence tomography (OCT) of a normal coronary segment in patient 1. C, Intramural hematoma of the first diagonal is confirmed via OCT in patient 1 (asterisk). D, Dissection of the left circumflex and obtuse marginal (arrows) in a 38-year-old woman (patient 2) presenting with recurrent spontaneous coronary artery dissection MI. E, External iliac artery fibromuscular dysplasia (FMD; arrow) noted during angiography in patient 2. F, Patient 2 had vascular abnormalities elsewhere, including FMD and dilatation of the left internal carotid artery (arrow). Mayo Clinic Proceedings 2015 90, 1125-1130DOI: (10.1016/j.mayocp.2015.05.010) Copyright © 2015 Mayo Foundation for Medical Education and Research Terms and Conditions