Premium
Aneurysm of the left anterior descending coronary artery revealed by CT angiography
Author(s) -
MICLAUS Gratian D.,
PLES Horia,
MATUSZ Petru L.
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.869.4
Subject(s) - medicine , ventricle , radiology , pseudoaneurysm , aneurysm , angiography , coronary artery disease , coronary arteries , right coronary artery , ostium , artery , coronary angiography , cardiology , myocardial infarction
Nonatherosclerotic coronary artery aneurysms are exceptionally rare. We examined a 31 years old male patient, who was sent to undergo CT angiography, in order to detect the possible existence of a cardiac malformation at the level of the right ventricle. One performed an ECG synchronized CT angiography, using a SOMATOM Sensation 64 computer‐tomograph, after administration of 110 ml iodine‐based contrast agent, with a flow rate of 5 ml/s. Images were reconstructed with 0.75 mm wall thickness, and the post‐processing was realized on a multimodality station, using software Syngo In Space and Syngo 3D. The analysis of the images highlights an aneurysm of the left anterior descending coronary artery, with the sizes of 5.91/3.84/3.79 cm, located at 12.68 cm from the left coronary artery ostium, fistulizated at the level of the right ventricle appendix, area where it presents a pseudoaneurysm, which communicates in the superior part with the right ventricle's cavity. The knowledge of the anatomy of the coronary arteries, concerning normal imagistics, but also the pathology, are mandatory requirements in order to establish complete and correct diagnostic accuracy. CT coronary angiography represents the elective method for precise anatomical coronary detail and is very useful to identify the pathology of coronary artery disease.