Spontaneous Dissection of a Septal Coronary Artery Mimicking Myocarditis

Abstract

Acute chest pain and dyspnea often raise coronary disease suspicion. When echocardiography and cardiac computed tomography findings appear normal, alternative diagnoses should be explored. We present a case initially suggestive of myocarditis but later revealed as coronary dissection by cardiac magnetic resonance. This case emphasizes the role of advanced imaging in atypical cardiac presentations.

Keywords

• acute coronary syndrome
• cardiac magnetic resonance
• computed tomography
• dissection