title: Coronary Artery Manifestation of Ormond Disease: The "Mistletoe Sign".
abstract: A 69-year-old woman presented with symptoms of presumed cardiac involvement of idiopathic retroperitoneal fibrosis, otherwise known as Ormond disease. Distinct pericoronary tissue proliferations were depicted at cardiac magnetic resonance (MR) imaging and coronary computed tomographic (CT) angiography. On images, the coronary manifestation was termed the "mistletoe sign." The presence of the mistletoe sign on cardiac MR and coronary CT angiographic images is probably rare, but it might be a characteristic manifestation of retroperitoneal fibrosis. With the increasing number of noninvasive cardiac imaging tests performed worldwide, the recognition of the mistletoe sign could be helpful in diagnosing retroperitoneal fibrosis.©RSNA, 2016 Online supplemental material is available for this article.
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Pál
authors.initials: P
authors.lastname: Maurovich-Horvat
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Ferenc Imre
authors.initials: FI
authors.lastname: Suhai
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Csilla
authors.initials: C
authors.lastname: Czimbalmos
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Attila
authors.initials: A
authors.lastname: Tóth
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: David
authors.initials: D
authors.lastname: Becker
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Emese
authors.initials: E
authors.lastname: Kiss
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Maros
authors.initials: M
authors.lastname: Ferencik
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Udo
authors.initials: U
authors.lastname: Hoffmann
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Hajnalka
authors.initials: H
authors.lastname: Vagó
authors.affiliation: From the MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St 68, 1122 Budapest, Hungary (P.M.H., F.I.S., C.C., A.T., D.B., H.V., B.M.); National Institute of Rheumatology and Physiotherapy, Budapest, Hungary (E.K.); and Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.F., U.H.).
authors.forename: Béla
authors.initials: B
authors.lastname: Merkely
mesh_terms: D000368:Aged; D000072226:Computed Tomography Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D012185:Retroperitoneal Fibrosis / Q000000981:diagnostic imaging*