Spontaneous coronary artery dissection: role of coronary CT angiography

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 …