The value of 64-slice computed tomography in a patient with an anomalous and atherosclerotic coronary artery

被引:2
作者
Karaca, Mustafa
Kirilmaz, Ata [1 ]
机构
[1] Haydarpasa Training Hosp, GATA, Istanbul, Turkey
[2] Sifa Hosp, Izmir, Turkey
关键词
coronary anomalous; coronary stenosis; 64-slice computed tomography;
D O I
10.1007/s10554-006-9081-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a 64-year-old male presenting with chest pain with a history of hyperlipidemia and smoking. Coronary angiogram was not successful to visualize the right coronary artery. Contrast enhanced 64-slice computed tomography (CT) identified the origin of the RCA from the aorta and distal stenosis of the vessel. Additionally, it revealed that the nature of the stenosis could be consistent with soft plaque or thrombus. Repeated coronary angiogram confirmed the data obtained by 64-slice CT. The confirmatory value of 64-slice CT in the evaluation of coronary abnormalities and stenoses has been addressed by this case report.
引用
收藏
页码:569 / 572
页数:4
相关论文
共 14 条
  • [1] Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes
    Basso, C
    Maron, BJ
    Corrado, D
    Thiene, G
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (06) : 1493 - 1501
  • [2] FEYTER PJ, 2005, COMPUT TOMOGR, P53
  • [3] Anomalous origin of coronary arteries and risk of sudden death: A study based on an autopsy population of congenital heart disease
    Frescura, C
    Basso, C
    Thiene, G
    Corrado, D
    Pennelli, T
    Angelini, A
    Daliento, L
    [J]. HUMAN PATHOLOGY, 1998, 29 (07) : 689 - 695
  • [4] A classification of unstable angina revisited
    Hamm, CW
    Braunwald, E
    [J]. CIRCULATION, 2000, 102 (01) : 118 - 122
  • [5] Visualising noncalcified coronary plaques by CT
    Leber, AW
    Knez, A
    Becker, A
    Becker, C
    Reiser, M
    Steinbeck, G
    Boekstegers, P
    [J]. INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2005, 21 (01) : 55 - 61
  • [6] Accuracy of multidetector spiral computed tomography in identifying and differentiating the composition of coronary atherosclerotic plaques - A comparative study with intracoronary ultrasound
    Leber, AW
    Knez, A
    Becker, A
    Becker, C
    von Ziegler, F
    Nikolaou, K
    Rist, C
    Reiser, M
    White, C
    Steinbeck, G
    Boekstegers, P
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (07) : 1241 - 1247
  • [7] Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography - A comparative study with quantitative coronary angiography and intravascular ultrasound
    Leber, AW
    Knez, A
    von Ziegler, F
    Becker, A
    Nikolaou, K
    Paul, S
    Wintersperger, B
    Reiser, M
    Becker, CR
    Steinbeck, G
    Boekstegers, P
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 46 (01) : 147 - 154
  • [8] High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography
    Mollet, NR
    Cademartiri, F
    van Mieghem, CAG
    Runza, G
    McFadden, EP
    Baks, T
    Serruys, PW
    Krestin, GP
    de Feyter, PJ
    [J]. CIRCULATION, 2005, 112 (15) : 2318 - 2323
  • [9] Detection, visualization and evaluation of anomalous coronary anatomy on 16-slice multidetector-row CT
    Ooijen, PMA
    Dorgelo, J
    Zijlstra, F
    Oudkerk, M
    [J]. EUROPEAN RADIOLOGY, 2004, 14 (12) : 2163 - 2171
  • [10] THE PATHOGENESIS OF ATHEROSCLEROSIS - A PERSPECTIVE FOR THE 1990S
    ROSS, R
    [J]. NATURE, 1993, 362 (6423) : 801 - 809