title: Associated vascular lesions in patients with spontaneous coronary artery dissection.
abstract: OBJECTIVE
  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.
authors.affiliation: Cardiovascular Center, Cardiology, University Hospital Zurich, Switzerland.
authors.forename: Stefan
authors.initials: S
authors.lastname: Toggweiler
authors.forename: Marietta
authors.initials: M
authors.lastname: Puck
authors.forename: Christoph
authors.initials: C
authors.lastname: Thalhammer
authors.forename: Robert
authors.initials: R
authors.lastname: Manka
authors.forename: Michael
authors.initials: M
authors.lastname: Wyss
authors.forename: Deniz
authors.initials: D
authors.lastname: Bilecen
authors.forename: Roberto
authors.initials: R
authors.lastname: Corti
authors.forename: Beatrice R
authors.initials: BR
authors.lastname: Amann-Vesti
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Lüscher
authors.forename: Christophe A
authors.initials: CA
authors.lastname: Wyss
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology*; D002339:Carotid Arteries; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D012077:Renal Artery; D012189:Retrospective Studies; D018616:Ultrasonography, Doppler, Duplex; D051598:Whole Body Imaging / Q000379:methods*