Detection of a large left anterior descending coronary artery aneurysm using low-dose coronary multidetector computed tomography.
We report the case of an asymptomatic 67-year-old man with positive ECG stress testing in whom low-dose multidetector computed tomography (MDCT) demonstrated a large aneurysm associated with critical stenoses of the mid left anterior descending coronary artery. A detailed anatomical depiction of this complex coronary lesion was obtained with MDCT despite very low radiation exposure (1.7 mSv). Invasive coronary angiography confirmed the MDCT findings and surgical treatment was successfully performed.
Pontone
Gianluca
G
Centro Cardiologico Monzino, IRCCS, Department of Cardiovascular Sciences, University of Milan, Italy. gianluca.pontone@ccfm.it
Andreini
Daniele
D
Galli
Stefano
S
Montorsi
Piero
P
Bartorelli
Antonio L
AL
Pepi
Mauro
M
D000368:Aged; D058070:Asymptomatic Diseases; D006348:Cardiac Surgical Procedures; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography / Q000379:methods*; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery; D005080:Exercise Test; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D011829:Radiation Dosage; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome