Winkler Michael A, Kapoor Harit, Elashery Ahmad Ramy, Issa Mohamed, Raissi Driss, Gupta Vedant, Sheppard Mary
Divisions of Cardiovascular and Thoracic Radiology (M.A.W., H.K., M.I., D.R., V.G.), Cardiovascular Medicine (M.A.W., A.R.E., V.G.), and Vascular Surgery (M.S.), and Departments of Obstetrics and Gynecology (D.R.) and Family and Community Medicine (M.S.), University of Kentucky Chandler Medical Center, UK HealthCare Enterprise, 800 Rose St, Room HX-313A, Lexington, KY 40536-0293.
Radiol Cardiothorac Imaging. 2019 Aug 29;1(3):e190035. doi: 10.1148/ryct.2019190035. eCollection 2019 Aug.
Segmental arterial mediolysis (SAM) is an increasingly recognized disorder affecting small- to medium-sized muscular arteries. A patient with SAM involving the visceral arteries who was also found to have multivessel coronary artery involvement is described. The patient underwent a battery of biochemical, imaging, and genetic tests to exclude other vasculitides and connective tissue disorders. The aim is to shed light on the potential for SAM to affect the coronary arteries and recommend screening of the coronary arteries of patients with SAM. © RSNA, 2019.
节段性动脉中层溶解（SAM）是一种越来越被认识到的影响中小肌性动脉的疾病。本文描述了一名患有累及内脏动脉的SAM且还发现有多支冠状动脉受累的患者。该患者接受了一系列生化、影像学和基因检测，以排除其他血管炎和结缔组织疾病。目的是阐明SAM累及冠状动脉的可能性，并建议对SAM患者的冠状动脉进行筛查。©RSNA，2019年。
