Single coronary artery syndrome: Cardiac computed tomography angiography as a leading imaging modality

2011 ◽  
Vol 78 (5) ◽  
pp. 764-769
Author(s):  
Adekunle Shittu ◽  
Jigar Kadakia ◽  
Matthew Budoff
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Computed Tomography Angiography ◽  
Imaging Modality ◽  
Cardiac Computed Tomography ◽  
Single Coronary Artery ◽  
Cardiac Computed Tomography Angiography

Spontaneous coronary artery dissection: how often do we miss this diagnosis? The role of cardiac computed tomography angiography

2019 ◽  
Vol 15 (5) ◽  
pp. 333-338 ◽  
Author(s):  
Giuliana Capretti ◽  
Satoru Mitomo ◽  
Manuela Giglio ◽  
Antonio Colombo ◽  
Alaide Chieffo
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Young Women ◽  
Computed Tomography Angiography ◽  
Cardiac Computed Tomography ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Cardiac Computed Tomography Angiography

Spontaneous coronary artery dissection (SCAD) is an important cause of acute coronary syndrome particularly among young women. Although coronary angiogram (CAG) is the gold standard exam for the diagnosis, SCAD may be missed by CAG alone. Our case series illustrates the adjunctive role of cardiac computed tomography angiography (cCTA) to CAG in ascertaining the diagnosis of SCAD. Three young women were admitted with ST-segment elevation myocardial infarction. CAG showed no significant coronary artery stenosis. In two patients, cCTA performed after CAG revealed an intramural hematoma compressing the coronary lumen. In one patient, SCAD was initially misdiagnosed as Takotsubo cardiomyopathy and cCTA performed 1 month later allowed to make the correct diagnosis of SCAD assessing the spontaneous healing of the dissected vessel.

scholarly journals Cardiac Computed Tomography Angiography for Imaging Coronary Arteriovenous Malformation: a Case Report

2014 ◽  
Vol 60 (1) ◽  
pp. 22-24
Author(s):  
Suciu Zsuzsanna ◽  
Jakó Beáta ◽  
Benedek Theodora ◽  
Benedek I
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Arteriovenous Malformation ◽  
Computed Tomography Angiography ◽  
Cardiac Computed Tomography ◽  
Main Pulmonary Artery ◽  
Cardiac Computed Tomography Angiography ◽  
Ionic Contrast

Abstract Background: Coronary arteriovenous malformation is a rare congenital disease consisting mainly in a direct communication between a coronary artery and any one of the four cardiac chambers, coronary sinus, pulmonary arteries or veins. This disease can lead to various cardiovascular events, their severity depending on the degree of the malformation. Case report: We present the case of a 56-year-old male patient, who was admitted to our institution with dyspnea, palpitation and chest pain, having a history of hypertension and hyperlipidemia, and an abnormal electrocardiogram. Physical examination did not reveal any alterations and the cardiac enzymes were in normal ranges. Cardiac computed tomography was performed before any other invasive studies, with a 64-row scanner (Somatom Sensation multislice 64 equipment, Siemens) after intravenous administration of non-ionic contrast material. CT scan revealed a large (2-2.5 mm) coronary fistula originating from the LAD to the main pulmonary artery, and multiple significant atherosclerotic coronary lesions. Coronary angiography confirmed the arteriovenous malformation between LAD and pulmonary artery, associated with three vascular coronary artery disease. Conclusions: Cardiac computed tomography angiography can help for a non-invasive diagnosis of the coronary artery malformations, in the same time revealing anatomic details which can be particulary useful for choosing the appropriate management strategy (surgical planning, interventional treatment or optimum medical treatment)

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