Multidetector Computed Tomography Diagnosis and Cine Imaging of Left Main Coronary Arterial DissectionGhersin, Eduard MD*; Runco Therrien, Jennifer E. MD*; Tanawuttiwat, Tanyanan MD†; Fishman, Joel E. MD, PhD*Journal of Thoracic Imaging: November 2012 - Volume 27 - Issue 6 - p W182–W184 doi: 10.1097/RTI.0b013e318250ad2a Web Exclusive Content—Case Reports: Cardiovascular Abstract In Brief Author Information Coronary artery dissection (CD) is a rare cause of acute myocardial ischemia. It is often diagnosed by invasive coronary angiography, which is the principal diagnostic tool and gold standard in the diagnosis and triage of patients with CD. More recently, electrocardiogram-gated multidetector computerized tomography has emerged as a complementary imaging tool primarily for follow-up purposes. To our knowledge, this is the first published report of the primary diagnosis and dynamic cine interrogation of a left main CD using retrospective electrocardiogram-gated multidetector computerized tomography, which was not disclosed on invasive coronary angiography. Supplemental Digital Content is available in the text. Departments of *Radiology †Medicine, Cardiovascular Division, Leonard M. Miller School of Medicine, University of Miami, Miami, FL Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website, www.thoracicimaging.com. The authors declare no conflicts of interest. Reprints: Eduard Ghersin, MD, Department of Diagnostic Radiology, Leonard M. Miller School of Medicine, University of Miami, Miami, FL 33101 (e-mail: email@example.com). © 2012 Lippincott Williams & Wilkins, Inc.