Detecting of coronary dissection by coronary magnetic resonance.
A 75-year-old man, who had a history of coronary dissection after percutaneous coronary intervention in left anterior descending coronary artery, underwent coronary magnetic resonance. Magnetic resonance demonstrated coronary dissection in the distal portion of the left anterior descending artery. Both the true lumen with thick vessel wall and the false lumen with thin vessel wall were demonstrated in the cross-sectional images using T1-weighed black blood technique and T2-weighed black blood technique. Soft plaque was located at the twelve o'clock in the true lumen. Invasive coronary angiogram showed long coronary dissection from middle to distal portion of left anterior descending coronary artery. Magnetic resonance was thought to be useful to detect and follow up the coronary dissection noninvasively.
Komatsu
Sei
S
Hirayama
Atsushi
A
Omori
Yosuke
Y
Sasaki
Jiro
J
Shinohe
Toru
T
Koshimune
Yutaka
Y
Fujisawa
Yasuo
Y
Murakawa
Tomokazu
T
Ropers
Dieter
D
Achenbach
Stephan
S
Daniel
Werner G
WG
Kodama
Kazuhisa
K
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000209:etiology; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D018570:Risk Assessment; D012680:Sensitivity and Specificity