Computed Tomography Angiographic Demonstration of an Unexpected Left Main Coronary Artery Dissection in a Patient With Polycystic Kidney Disease

被引:14
|
作者
Lee, Chih-Chia [1 ]
Fang, Chih-Yuan [2 ]
Huang, Chung-Cheng [1 ]
Ng, Shu-Hang [1 ]
Yip, Hon-Kan [2 ]
Ko, Sheung-Fat [1 ]
机构
[1] Chang Gung Univ, Chang Gung Mem Hosp, Dept Radiol, Coll Med,Kaohsiung Med Ctr, Kaohsiung 833, Taiwan
[2] Chang Gung Univ, Chang Gung Mem Hosp, Dept Cardiol, Coll Med,Kaohsiung Med Ctr, Kaohsiung 833, Taiwan
关键词
polycystic kidney disease; autosomal dominant; coronary artery dissection; spontaneous; computed tomography angiography; coronary; stent; WOMAN;
D O I
10.1097/RTI.0b013e3181dc2a53
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We report an unusual case of spontaneous coronary artery dissection in a 59-year-old patient with autosomal dominant polycystic kidney disease who presented with mild intermittent chest discomfort during hiking. Coronary computed tomography angiography revealed an unexpected dissection flap in the left main coronary artery extending to the proximal part of the left anterior descending artery. After transcatheter placement of a coronary stent, the patient had no recurrent discomfort even during heavy exercise.
引用
收藏
页码:W4 / W6
页数:3
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