Coronary artery aneurysm and type-A aortic dissection demonstrated by retrospectively ECG-gated multislice spiral CT.
The case of a 40-year-old male patient with a coronary aneurysm of the proximal left descending artery (LAD) combined with circumferential type-A dissection of the ascending aorta is reported. Computed tomography angiography of the coronary arteries was performed using multislice spiral computed tomography (MSCT) with retrospective ECG gating. Anatomical relations of the LAD aneurysm as well as the origin of the left coronary artery from the false lumen of the dissection were well depicted for planning of the surgical intervention using this new noninvasive imaging modality.
Fallenberg
Maria
M
Department of Clinical Radiology, University Hospital Münster, Albert-Schweitzer-Strasse 33, 48129 Münster, Germany.
Juergens
Kai Uwe
KU
Wichter
Thomas
T
Scheld
Hans H
HH
Fischbach
Roman
R
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*