scholarly journals Pivotal role of cardiac magnetic resonance imaging in a new case of Takayasu arteritis

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Simin Almasi ◽  
Sanaz Asadian ◽  
Faezeh Tabesh ◽  
Parham Rabiei ◽  
Nahid Rezaeian
Keyword(s):  
Coronary Artery ◽  
Takayasu Arteritis ◽  
Unusual Case ◽  
Aortic Wall ◽  
Common Finding ◽  
Wall Calcification ◽  
The Right ◽  
Ostial Lesion ◽  
Late Manifestation

ABSTRACT Takayasu arteritis (TA), also known as the pulseless disease, is a form of vasculitis of unknown cause that chiefly affects the aorta and its major branches, most frequently in young women. The earliest detectable abnormality in TA is a thickening of the vessel wall, but diffuse aortic wall calcification is very rare and is a late manifestation. Besides, the involvement of the coronary arteries is not a common finding in TA and frequently involves the right coronary artery (RCA). Multi-modality imaging has a fundamental role in the diagnosis of vasculitis and its complications. In this report, we want to present an unusual case with TA, diffuse aortic wall calcification and left main coronary artery ostial lesion, which is a rare combination.

scholarly journals Tumor Encasement of the Right Coronary Artery: Role of Anatomic and Functional Imaging in Diagnosis and Therapeutic Management

2014 ◽  
Vol 8 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Yu-Hsiang Juan ◽  
Yiannis S Chatzizisis ◽  
Sachin S Saboo ◽  
Tatiana Rocha ◽  
Michael L Steigner
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Surgical Planning ◽  
Mediastinal Tumor ◽  
Treatment Approach ◽  
Mediastinal Tumors ◽  
Coronary Artery Involvement ◽  
Poorly Differentiated ◽  
The Right

We presented two rare cases of mediastinal tumor encasing the right coronary artery (RCA), one with recurrent metastatic thymoma and another with primary poorly differentiated neoplasm. Different degrees and locations of RCA involvement were noted. The treatment approach varied from conservative to surgical. Coronary artery involvement by mediastinal tumors is important to be investigated with imaging as it may guide the surgical planning.

scholarly journals Patient with Acute Coronary Syndrome in the Setting of an Extremely Rare form of Complex Congenital Anomalous Coronaries

Aorta ◽  
2021 ◽  
Author(s):  
Mahmoud Abdelnabi ◽  
Fady Gerges ◽  
Yehia Saleh ◽  
Eman Elsharkawy ◽  
Mohamed Sanhoury ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Young Patient ◽  
Right Coronary Artery ◽  
Unusual Case ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
Rare Form ◽  
Coronary Syndrome ◽  
The Right

AbstractA single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.

scholarly journals Severe Dilatation of Coronary Artery Ostium Complicating Sinus of Valsalva Aneurysm: Differential Diagnosis and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Paul Bamford ◽  
Nicholas Collins
Keyword(s):  
Differential Diagnosis ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Surgical Intervention ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Unusual Manifestation ◽  
The Right ◽  
Underlying Pathophysiology

Coronary artery dilatation may be due to various aetiologies including congenital anomalies, atherosclerotic coronary disease, and Kawasakis disease. We describe a case characterised by apparent severe dilatation of the right coronary artery ostium in an asymptomatic male. Subsequent imaging and surgical intervention documented the presence of a sinus of Valsalva aneurysm extending into the ostium of the right coronary artery. This represents an unusual manifestation of a sinus of Valsalva aneurysm. The underlying pathophysiology, differential diagnosis, role of surgical management, and outcomes are discussed.

scholarly journals Evaluation of Breast Vascular Calcifications as a Predictor for Coronary Artery Calcification

2021 ◽  
Vol 102 (3) ◽  
pp. 196-202
Author(s):  
D. A. Bazhenova ◽  
O. S. Puchkova ◽  
E. A. Mershina ◽  
V. E. Sinitsyn
Keyword(s):  
Coronary Artery ◽  
Cardiovascular Diseases ◽  
Coronary Artery Calcification ◽  
Cardiac Computed Tomography ◽  
Calcium Score ◽  
Vascular Calcifications ◽  
Increased Risk ◽  
Wall Calcification ◽  
Made In

Background. Cardiovascular diseases are one of the main causes of death among women, and current prevention paradigms may not be sufficient in this group. In this context, it has been suggested that the detection of breast vascular calcifications can improve the screening and assessment of the risk of cardiovascular diseases in apparently healthy women.Objective: to study the role of breast vascular calcifications as a potential predictor for coronary artery calcification. Material and methods. Examinations were made in 123 patients who underwent digital mammography and cardiac computed tomography to estimate a coronary artery calcium score.Results. The use of the Wilcoxon-Mann-Whitney W-test for abnormal distribution showed a relationship between the presence of breast vascular calcifications and calcium score (p< 0.001), and that between aortic wall calcification and calcium score (p< 0.001).Conclusion. Breast vascular calcifications detected by mammography are an indicator of a higher frequency of coronary artery calcification and, apparently, a predictor for the increased risk of cardiovascular disease.

scholarly journals Anomalous Origin of Left Coronary Artery with Intramural Aortic Course Causing Symptoms in a Teenaged Athlete

2020 ◽  
Vol 47 (2) ◽  
pp. 165-167 ◽  
Author(s):  
Daniel Garcia-Arribas ◽  
Carmen Olmos ◽  
Javier Higueras ◽  
Pedro Marcos-Alberca ◽  
Iñigo de la Pedraja ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Sinus ◽  
Poor Prognosis ◽  
Left Coronary Artery ◽  
Soccer Player ◽  
Aortic Wall ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Computed Tomographic ◽  
The Right

Anomalous origin of the left coronary artery from the opposite sinus of Valsalva with an intramural aortic course is a rare congenital anomaly with a poor prognosis. We report the case of a 14-year-old soccer player who briefly lost consciousness while sprinting. He had exertional chest pain, syncope, ischemic changes on his electrocardiogram, and elevated cardiac troponin levels. Computed tomographic angiograms showed an anomalous origin of the left coronary artery from the right sinus of Valsalva and a course through the aortic wall toward the left coronary sinus. A surgically created neo-ostium in the left coronary sinus relieved the patient's ischemia, and he resumed playing soccer after cardiac rehabilitation.

scholarly journals P1488 Anomalous origin of left coronary artery from right pulmonary artery in association with scimitar syndrome

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Aly ◽  
R Lizano Santamaria ◽  
S J Yoo
Keyword(s):  
Pulmonary Hypertension ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Scimitar Syndrome ◽  
Right Atrial ◽  
Anomalous Origin ◽  
Coronary Perfusion ◽  
Antegrade Flow ◽  
The Right

Abstract Clinical Presentation A full-term neonate was referred to our institution because of respiratory distress. CXR was significant for right lung hypoplasia and mild cardiomegaly. ECG showed normal sinus rhythm, right atrial enlargement, and right ventricular hypertrophy with no signs of ischemia. Imaging Findings The initial echocardiogram demonstrated PAPVD with the right upper pulmonary vein draining into IVC/RA junction with flow acceleration (mean gradient= 7 mmHg), moderate ASD, small muscular VSD with left-right shunting, moderate PDA with bidirectional shunting. Forward flow was seen in the proximal part of left main coronary artery (LMCA). RV systolic pressure was supra-systemic with a qualitatively moderately reduced RV systolic function. The patient was taken to the catheterization lab where MPA angiography revealed an antegrade flow from the RPA into LMCA supplying both the anterior descending and the circumflex arteries. A selective injection within the scimitar vein showed drainage of the right lung into a vertical vein connecting with stenosis to IVC. A follow up echocardiogram to re-examine the coronary origin revealed an anomalous origin of LMCA from proximal RPA; 3 mm distal to branch pulmonary artery bifurcation with mainly antegrade low velocity flow into LMCA and LAD. (Image 1) Role of Imaging in Patient Care - Imaging of the coronary origin in patients with ALCAPA can be challenging especially if the LMCA originates from RPA. Also, the presence of pulmonary hypertension might contribute to maintain coronary perfusion and lead to misinterpretation of the antegrade flow in LMCA and its branches. - In certain situations, cardiac catheterization is essential to make the diagnosis of ALCAPA which prevented a potentially catastrophic outcome. Catheter intervention with a series of balloon dilations of the stenotic scimitar vein was successful in relieving the stenosis. Summary/Discussion Points: - Extensive review of the available literature revealed only three cases of Scimitar syndrome associated with ALCAPA. In all of these cases, the LMCA originated from the posterior sinus of MPA. Our case is the first to report ALCAPA from RPA in association with Scimitar syndrome. This presentation might have led to the initial misinterpretation of the echocardiography images. - The presence of pulmonary hypertension in our patient maintained an adequate antegrade flow across the LMCA preventing significant coronary steal and signs of myocardial ischemia. - The report highlights the challenges in making the diagnosis of ALCAPA with echocardiograms. Moreover, we discuss the role of cross-sectional and invasive imaging to rule out potential coronary arteries anomalies in patients with Scimitar syndrome, as this a rare although a very significant association that may have important implications in their outcomes. Abstract P1488 Figure. ALCAPA origin from RPA

scholarly journals CORONARY ARTERY CALCIFICATION AND THORACIC AORTIC WALL CALCIFICATION ARE ASSOCIATED WITH INCREASING CATEGORIES OF BLOOD PRESSURE

2010 ◽  
Vol 55 (10) ◽  
pp. A72.E677
Author(s):  
Heidi Gransar ◽  
Jamal S. Rana ◽  
Nathan D. Wong ◽  
Prediman K. Shah ◽  
Alan Rozanski ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Coronary Artery ◽  
Coronary Artery Calcification ◽  
Aortic Wall ◽  
Wall Calcification

scholarly journals A Case of Coronary Cameral Fistula: When and How to Intervene?

2021 ◽  
Author(s):  
Mehdi Peighambari ◽  
Marziyeh Pakbaz ◽  
Azin Alizadehasl ◽  
Saeid Hosseini ◽  
Hamidreza Pouraliakbar
Keyword(s):  
Coronary Artery ◽  
Unusual Case ◽  
Coronary Artery Fistula ◽  
Circumflex Coronary Artery ◽  
Aged Woman ◽  
Complex Anatomy ◽  
Coronary Artery Fistulas ◽  
Middle Aged Woman ◽  
The Right

Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary artery is rarely involved. We present an unusual case of a coronary artery fistula in a middle-aged woman who presented with symptoms of heart failure and abnormal auscultation. Echocardiography and conventional and computed tomography angiography showed that the coronary fistula originated from the left circumflex coronary artery and drained majorly into the right ventricle. Given the complex anatomy of the fistula, we managed it surgically rather than percutaneously. There were no complications early after surgery and at 1 year’s follow-up.

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