title: Spontaneous coronary artery dissection diagnosed by multislice computed tomography.
abstract: Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. Spontaneous coronary artery dissection can cause stable angina pectoris, unstable angina pectoris, acute myocardial infarction, cardiogenic shock and sudden cardiac death. It usually occurs in young to middle aged women. Atherosclerosis, peripartum period, and structural and inflammatory diseases affecting the artery wall are predisposing factors. It shows similar clinical presentation to coronary artery disease. Diagnosis and early treatment decrease mortality. Treatment options are medical treatment, percutaneous coronary intervention and surgery. The treatment decision is made according to the clinical presentation of the patient, the affected coronary artery and the length of the dissected segment. Diagnosis of the disease is usually made by coronary angiography. We present a patient who consulted our clinic with atypical chest pain and was diagnosed with spontaneous left anterior descending dissection by coronary computed tomography angiography.
authors.affiliation: Cardiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Gunes
authors.affiliation: Cardiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Kucukdurmaz
authors.affiliation: Radiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Seker
authors.affiliation: Cardiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
authors.forename: Recep
authors.initials: R
authors.lastname: Kurt
authors.affiliation: Radiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Salk
authors.affiliation: Cardiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
authors.forename: Hekim
authors.initials: H
authors.lastname: Karapınar
keywords: angiography; computed tomography; spontaneous coronary artery dissection