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Spontaneous coronary artery dissection: role of coronary CT angiography
  1. Vincenzo Russo1,
  2. Cinzia Marrozzini2,
  3. Maurizio Zompatori1
  1. 1Cardio-Thoracic-Vascular Department, Cardiothoracic Radiology Unit, University Hospital “S. Orsola”, Bologna, Italy
  2. 2Cardio-Thoracic-Vascular Department, Cardiology Unit, University Hospital “S. Orsola”, Bologna, Italy
  1. Correspondence to Dr Vincenzo Russo, Cardio-Thoracic-Vascular Department, Cardiothoracic Radiology Unit, University Hospital “S. Orsola”, Padiglione 25, Via Massarenti 9, Bologna, Italy; virusso{at}

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A 34-year-old woman, with unremarkable medical history and no cardiovascular risk factors, one  month after partum experienced a strong and prolonged jugular pain episode requiring admission to the emergency department. The ECG signs showed acute myocardial infarction and she underwent coronary angiography which showed left circumflex artery dissection in the middle and distal tract, with possible proximal extension even up to the left main artery (figure 1, panel A).

Figure 1

Coronary angiography (panel A) and coronary CT angiography images showing the presence of dissection …

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  • Contributors VR: paper writing, images editing and coronary CT angiography execution. CM: patient management and coronary angiography execution. MZ: literature search and supervisor (overall content guarantor).

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.