Abstract
Spontaneous Coronary Artery Dissection (SCAD) is an increasingly recognized cause of acute coronary syndromes. Fibromuscular dysplasia (FMD) is an idiopathic, non-atherosclerotic and noninflammatory arterial disease affecting small to medium-sized arteries that can result multifocal aneurysms, stenosis, tortuosity, and dissections. Extra-coronary FMD has been identified in approximately 70% of SCAD patients and it is recommended that all SCAD patients undergo screening for FMD once in their lifetime using computed tomographic angiography from head to pelvis. This focused review for cardiologists outlines current approaches to diagnosis and management of patients with FMD.
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