Cardiology Letters 2023, 32(1):54-61

Traumatic coronary artery dissection in sports: Use of FFRCT and literature review

Nehaj F^{1, 2, 3, 4}, Connolly DL^{3, 4}

¹ Oddelenie arytmológie a kardiostimulácie, Národný ústav srdcových a cievnych chorôb, a. s., Bratislava, Slovenská republika

² Klinika kardiológie a angiológie, Slovenská zdravotnícka univerzita, Bratislava, Slovenská republika

³ University of Birmingham, Institute of Cardiovascular Sciences, Birmingham, UK

⁴ Sandwell and West Birmingham Hospitals NHS Service Trust, Birmingham, UK

Traumatic coronary artery dissection (TCAD) is a rare form of cardiac injury. Nonpenetrating chest trauma causing dissection may however be unrecognized and under-reported. The role of cardiac computed tomography (CCT) has become increasingly important not only in the diagnosis of spontaneous coronary artery dissection (SCAD), but also in the diagnosis of TCAD. However, the role of non-invasive CT fractional flow reserve (FFRCT) in this field is less clear. FFRCT was performed as a novel means of evaluating if dissection was flow limiting. In addition, this work provides a literature review dealing with coronary artery dissections in the context of sports.

Keywords: traumatic coronary artery dissection; sport; computed tomography fractional flow reserve

Published: January 1, 2023  Show citation