Reply to letter to the Editor “Spontaneous coronary artery dissection undissolved using cardiac computed tomography: Response and a question”

Abstract

Martin, et al. express a valid question regarding whether the intimal flap was already present at the time of cardiac CT. They have stressed the fact that the ECG changes were not present at the time of the cardiac CT and that 3 days were elapsed between the coronary angiography and the cardiac CT. Spontaneous coronary artery dissection undissolved using cardiac computed tomography: Response and a questionInternational Journal of CardiologyVol. 229PreviewWe have read with interest the manuscript recently published by Becker et al., entitled “Spontaneous coronary artery dissection undissolved using cardiac computed tomography” [1]. Spontaneous coronary dissection is an infrequent pathology not related to cardiovascular risk factors and affecting mainly women in the postpartum period. It is also associated with other entities like fibromuscular dysplasia. We would like to remark two aspects. First of all, spontaneous coronary dissection requires a high index of suspicion for its diagnosis; in this sense, a very helpful diagnosis organigram has been proposed recently by Buccheri et al. Full-Text PDF