Utility of dual source dual energy cardiac CT in coronary artery dissection diagnosis and follow-up: a case series and review of the literature

The role of cardiac CTA (CCTA) in the evaluation of coronary artery disease (CAD) is well established. However, its role in the morphological and functional evaluation of coronary artery dissection is still not adequately investigated.

We performed a review of the current literature regarding dual source—dual energy CCTA (dsDECCTA) performance in the diagnosis and follow-up of spontaneous coronary artery dissection (SCAD) and iatrogenic coronary artery dissection (ICAD).We highlighted dsDECTA diagnostic contribution in such a rare and specific scenario, through a single center experience, reporting more than 10 consecutive cases acquired in the acute phase in a 12 month period.

DsDECT has an effective role in the diagnosis and the follow-up of SCAD and in the management of iatrogenic coronary dissections.

DsDECT cardiac imaging may represent a game-changer in the diagnosis of cases of coronary artery dissection and in the follow-up of SCAD, given its high recurrence rate.