Study on the CT Features of Coronary Artery Aneurysm_West China Medical Journal

Authors：

 ChenZhubi ¹ , ZuoWen ¹ , WangJianqiu ¹ , PuYueying ² , HanWenbin ¹ , SangCilan ¹ , LiKai ¹ , LiuTianran ¹

1. Department of Radiology, the First People's Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;
2. Department of Information, the First People's Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;

Corresponding?author：

Keywords：

Tomography, X-ray computed; Coronary artery; Angiography; Aneurysm

DOI：

10.7507/1002-0179.20160078

Video：

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Objective To evaluate the CT features of coronary artery aneurysm by coronary artery imaging on 128 slice CT and dual source CT (CTCA). Methods A total of 1 108 cases were prospectively examined using CTCA between March 2011 and April 2014. With volume rendering, maximum intensity projection, multiplanar reconstruction and surface reconstruction, we observed the coronary artery morphology and vascular wall condition. Results Three cases of coronary artery aneurysm were found. In case one, the anterior descending branch (LAD) had grape-like prominency segmentally; in case two, LAD and left coronary circumflex branch (LCX) and right coronary artery (RCA) had diffuse dilation with local shuttle expansion; in case three, left main, LAD and LCX and RCA had diffuse expansion. Conclusion CTCA is a noninvasive, simple and effective method for the diagnosis of coronary artery aneurysm, and it can be the first choice for the high risk population with coronary artery aneurysm.

Citation： ChenZhubi, ZuoWen, WangJianqiu, PuYueying, HanWenbin, SangCilan, LiKai, LiuTianran. Study on the CT Features of Coronary Artery Aneurysm. West China Medical Journal, 2016, 31(2): 293-296. doi: 10.7507/1002-0179.20160078 Copy

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10.	張兆琪. 心血管疾病64排CT診斷學[M]. 北京:人民衛生出版社, 2008:67.
11.	張惠芬, 梁春華, 吳志紅. 冠狀動脈造影164例臨床分析[J]. 河北醫藥, 2008, 30(11):1689-1690.
12.	曹志堅, 許茂盛, 陳智能, 等. 冠狀動脈瘤樣擴張的64層螺旋CT血管成像研究[J]. 中國臨床醫學影像雜志, 2013, 24(3):199-202.
13.	Baer AZ, Rubin LG, Shapiro CA, et al. Prevalence of coronary artery lesions on the initial echocardiogram in Kawasaki syndrome[J]. Arch Pediatr Adolesc Med, 2006, 160(7):686-690.
14.	Arishiro K, Nariyama J, Hoshiga M, et al. Vascular beh?et's disease with coronary artery aneurysm[J]. Intern Med, 2006, 45(15):903-907.
15.	Kaul U, Gupta RK, Kachru R. Large coronary artery aneurysms following sirolimus eluting stent implantation[J]. Heart, 2005, 91(2):234.
16.	Gupta RK, Sapra R, Kaul U. Early aneurysm formation after drug-eluting stent implantation:an unusual life-threatening complication[J]. J Invasive Cardiol, 2006, 18(4):E140-E142.
17.	高藝花, 金成子. 巨大冠狀動脈瘤超聲表現1例分析[J]. 中國誤診學雜志, 2011, 11(4):974.
18.	Manginas A, Cokkinos DV. Coronary artery ectasias:imaging, functional assessment and clinical implications[J]. Eur Heart J, 2006, 27(9):1026-1031.

1. 譚寧, 張崇健. 對冠狀動脈瘤的新認識[J]. 嶺南心血管病雜志, 2008, 14(1):7-10.
2. Austen WG, Edwards JE, Frye RL, et al. A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association[J]. Circulation, 1975, 51(4 Suppl):5-40.
3. Markis JE, Joffe CD, Cohn PF, et al. Clinical significance of coronary arterial ectasia[J]. Am J Cardiol, 1976, 37(2):217-222.
4. 唐亮, 葛華. 多排螺旋CT冠脈成像在冠心病診斷中的臨床價值[J]. 沈陽醫學院學報, 2011, 13(3):140-141, 144.
5. 彭兆輝. 體重指數在降低冠狀動脈CTA輻射劑量的應用研究[J]. 實用放射學雜志, 2012, 28(3):465-468.
6. 何東, 王莉, 蕭毅, 等. 64層CT冠狀動脈成像、磁共振多技術掃描評價冠心病的對比研究[J]. 中國醫學影像技術, 2007, 23(10):1498-1502.
7. 李云娟, 朱硯, 祁吉. 多層螺旋CT鑒別冠狀動脈脂質與纖維斑塊的Meta分析[J]. 實用放射學雜志, 2012, 28(9):1338-1344.
8. Gilbert L, Raff, Michael J, et al. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computer tomography[J]. J Am Colleg Rardiol, 2005, 46(8):552-557.
9. 金光臨, 劉幼文, 左輝華, 等. 冠狀動脈瘤92例冠脈造影和臨床特點分析[J]. 疑難病雜志, 2009, 8(6):325-326.
10. 張兆琪. 心血管疾病64排CT診斷學[M]. 北京:人民衛生出版社, 2008:67.
11. 張惠芬, 梁春華, 吳志紅. 冠狀動脈造影164例臨床分析[J]. 河北醫藥, 2008, 30(11):1689-1690.
12. 曹志堅, 許茂盛, 陳智能, 等. 冠狀動脈瘤樣擴張的64層螺旋CT血管成像研究[J]. 中國臨床醫學影像雜志, 2013, 24(3):199-202.
13. Baer AZ, Rubin LG, Shapiro CA, et al. Prevalence of coronary artery lesions on the initial echocardiogram in Kawasaki syndrome[J]. Arch Pediatr Adolesc Med, 2006, 160(7):686-690.
14. Arishiro K, Nariyama J, Hoshiga M, et al. Vascular beh?et's disease with coronary artery aneurysm[J]. Intern Med, 2006, 45(15):903-907.
15. Kaul U, Gupta RK, Kachru R. Large coronary artery aneurysms following sirolimus eluting stent implantation[J]. Heart, 2005, 91(2):234.
16. Gupta RK, Sapra R, Kaul U. Early aneurysm formation after drug-eluting stent implantation:an unusual life-threatening complication[J]. J Invasive Cardiol, 2006, 18(4):E140-E142.
17. 高藝花, 金成子. 巨大冠狀動脈瘤超聲表現1例分析[J]. 中國誤診學雜志, 2011, 11(4):974.
18. Manginas A, Cokkinos DV. Coronary artery ectasias:imaging, functional assessment and clinical implications[J]. Eur Heart J, 2006, 27(9):1026-1031.

West China Medical Journal

Study on the CT Features of Coronary Artery Aneurysm

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