title: Multidetector computed tomography diagnosis and cine imaging of left main coronary arterial dissection.
abstract: Coronary artery dissection (CD) is a rare cause of acute myocardial ischemia. It is often diagnosed by invasive coronary angiography, which is the principal diagnostic tool and gold standard in the diagnosis and triage of patients with CD. More recently, electrocardiogram-gated multidetector computerized tomography has emerged as a complementary imaging tool primarily for follow-up purposes. To our knowledge, this is the first published report of the primary diagnosis and dynamic cine interrogation of a left main CD using retrospective electrocardiogram-gated multidetector computerized tomography, which was not disclosed on invasive coronary angiography.
authors.affiliation: Department of Radiology, Cardiovascular Division, Leonard M. Miller School of Medicine, University of Miami, Miami, FL 33101, USA. eghersin@med.miami.edu
authors.forename: Eduard
authors.initials: E
authors.lastname: Ghersin
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Runco Therrien
authors.forename: Tanyanan
authors.initials: T
authors.lastname: Tanawuttiwat
authors.forename: Joel E
authors.initials: JE
authors.lastname: Fishman
mesh_terms: D000368:Aged; D003287:Contrast Media; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods; D006801:Humans; D007479:Iopamidol; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods*; D017202:Myocardial Ischemia / Q000209:etiology; D011856:Radiographic Image Enhancement / Q000379:methods; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000000981:diagnostic imaging
chemical_list: D003287:Contrast Media; D007479:Iopamidol