Recurrent Spontaneous Coronary Artery Dissection Observed With Multiple Imaging Modalities
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- Jinnouchi Hiroyuki
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University
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- Sakakura Kenichi
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University
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- Matsuda Jun
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University
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- Wakabayashi Yasushi
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University
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- Wada Hiroshi
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University
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- Momomura Shin-ichi
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University
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- Ako Junya
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University
書誌事項
- 公開日
- 2013
- 資源種別
- journal article
- DOI
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- 10.1536/ihj.54.181
- 公開者
- 一般社団法人 インターナショナル・ハート・ジャーナル刊行会
この論文をさがす
説明
Spontaneous coronary artery dissection (SCAD) is considered to be a rare cause of acute coronary syndrome, especially recurrent or multivessel dissection. We present here the case of 51 year-old man who had recurrent and multivessel SCAD. In the initial event, the distal segment of the right coronary artery was spontaneously dissected, which was confirmed by coronary angiography (CAG), intracoronary ultrasound (IVUS), and multidetector computed tomography (MDCT). In the second event, the left coronary artery was spontaneously dissected. The dissection was confirmed by IVUS and MDCT, although CAG did not show stenosis, occlusion, or dissection in the left coronary artery. These findings suggest the weakness of CAG and the usefulness of IVUS or MDCT for the diagnosis of SCAD.
収録刊行物
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- International Heart Journal
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International Heart Journal 54 (3), 181-183, 2013
一般社団法人 インターナショナル・ハート・ジャーナル刊行会
