title: Aortitis With Associated Left Main Coronary Artery Stenosis: Role of Cardiac Computed Tomography.
abstract: We report on a 49-year-old man who presented to the emergency department with progressive angina. Echocardiography displayed severe aortic regurgitation and aortic valve thickening. The suspected diagnosis was acute aortic syndrome. Cardiac computed tomography showed circumferential thickening of the aortic wall and left main coronary artery ostial stenosis. Histologic examination showed diffuse aortic inflammation. No damage of any other organ or vascular structure was reported, and the final diagnosis was nonspecific aortitis. Differential diagnosis, prognosis, and therapeutic strategies are discussed.
authors.affiliation: Department of Cardiology, Hospital Ramon y Cajal, Madrid, Spain. Electronic address: gonzalol.alonso@gmail.com.
authors.forename: Gonzalo Luis
authors.initials: GL
authors.lastname: Alonso Salinas
authors.affiliation: Department of Cardiology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Sara
authors.initials: S
authors.lastname: Fernandez Santos
authors.affiliation: Department of Anatomic Pathology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Pinilla Pagnon
authors.affiliation: Department of Cardiothoracic Surgery, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Miguelena Hycka
authors.affiliation: Department of Radiology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Ines
authors.initials: I
authors.lastname: Pecharromán
authors.affiliation: Department of Cardiology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Sanmartín Fernández
authors.affiliation: Department of Cardiology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Marina
authors.initials: M
authors.lastname: Pascual Izco
authors.affiliation: Department of Cardiology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Jose Julio
authors.initials: JJ
authors.lastname: Jimenez-Nacher
authors.affiliation: Department of Cardiology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Covadonga
authors.initials: C
authors.lastname: Fernandez-Golfin
authors.affiliation: Department of Cardiology, Hospital Ramon y Cajal, Madrid, Spain.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Zamorano
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology; D001011:Aorta / Q000000981:diagnostic imaging / Q000473:pathology; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D001025:Aortitis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D000072226:Computed Tomography Angiography / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016896:Treatment Outcome