title: Coronary involvement in Churg-Strauss syndrome: a case report with CT findings.
abstract: We report a case of Churg-Strauss syndrome (CSS) associated with coronary artery involvement, as demonstrated on coronary CT angiography (CCTA), without specific cardiac symptoms. A 69-year-old male had an 8-year history of bronchial asthma and chronic sinusitis with hypereosinophilia (35 %), polyneuropathy, and a positive antineutrophil cytoplasmic antibody titer, so he was diagnosed with CSS. The patient had no specific cardiac symptoms, but CCTA showed vasculitis and a saccular aneurysm involving the proximal coronary arteries. The 3-year follow-up CCTA demonstrated an increase in the extent of soft-tissue wall thickening and infiltration involving the coronary arteries. Although vasculitis of the major coronary arteries is not a prominent feature of CSS, our case suggests that the coronary arteries may also be targeted in this syndrome.
authors.affiliation: Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, 97 Guro-dong, Guro-gu, Seoul, 152-703, Korea.
authors.forename: Kyung Won
authors.initials: KW
authors.lastname: Doo
authors.forename: Hwan Seok
authors.initials: HS
authors.lastname: Yong
authors.forename: Eun-Young
authors.initials: EY
authors.lastname: Kang
mesh_terms: D000368:Aged; D000792:Angiography; D015267:Churg-Strauss Syndrome / Q000150:complications* / Q000000981:diagnostic imaging*; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed