Study on the CT Features of Coronary Artery Aneurysm_West China Medical Journal

Authors：

 ChenZhubi ¹ , ZuoWen ¹ , WangJianqiu ¹ , PuYueying ² , HanWenbin ¹ , SangCilan ¹ , LiKai ¹ , LiuTianran ¹

1. Department of Radiology, the First People's Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;
2. Department of Information, the First People's Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;

Corresponding author：

Keywords：

Tomography, X-ray computed; Coronary artery; Angiography; Aneurysm

DOI：

10.7507/1002-0179.20160078

Video：

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Objective To evaluate the CT features of coronary artery aneurysm by coronary artery imaging on 128 slice CT and dual source CT (CTCA). Methods A total of 1 108 cases were prospectively examined using CTCA between March 2011 and April 2014. With volume rendering, maximum intensity projection, multiplanar reconstruction and surface reconstruction, we observed the coronary artery morphology and vascular wall condition. Results Three cases of coronary artery aneurysm were found. In case one, the anterior descending branch (LAD) had grape-like prominency segmentally; in case two, LAD and left coronary circumflex branch (LCX) and right coronary artery (RCA) had diffuse dilation with local shuttle expansion; in case three, left main, LAD and LCX and RCA had diffuse expansion. Conclusion CTCA is a noninvasive, simple and effective method for the diagnosis of coronary artery aneurysm, and it can be the first choice for the high risk population with coronary artery aneurysm.

Citation： ChenZhubi, ZuoWen, WangJianqiu, PuYueying, HanWenbin, SangCilan, LiKai, LiuTianran. Study on the CT Features of Coronary Artery Aneurysm. West China Medical Journal, 2016, 31(2): 293-296. doi: 10.7507/1002-0179.20160078 Copy

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18.	Manginas A, Cokkinos DV. Coronary artery ectasias:imaging, functional assessment and clinical implications[J]. Eur Heart J, 2006, 27(9):1026-1031.

1. 谭宁, 张崇健. 对冠状动脉瘤的新认识[J]. 岭南心血管病杂志, 2008, 14(1):7-10.
2. Austen WG, Edwards JE, Frye RL, et al. A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association[J]. Circulation, 1975, 51(4 Suppl):5-40.
3. Markis JE, Joffe CD, Cohn PF, et al. Clinical significance of coronary arterial ectasia[J]. Am J Cardiol, 1976, 37(2):217-222.
4. 唐亮, 葛华. 多排螺旋CT冠脉成像在冠心病诊断中的临床价值[J]. 沈阳医学院学报, 2011, 13(3):140-141, 144.
5. 彭兆辉. 体重指数在降低冠状动脉CTA辐射剂量的应用研究[J]. 实用放射学杂志, 2012, 28(3):465-468.
6. 何东, 王莉, 萧毅, 等. 64层CT冠状动脉成像、磁共振多技术扫描评价冠心病的对比研究[J]. 中国医学影像技术, 2007, 23(10):1498-1502.
7. 李云娟, 朱砚, 祁吉. 多层螺旋CT鉴别冠状动脉脂质与纤维斑块的Meta分析[J]. 实用放射学杂志, 2012, 28(9):1338-1344.
8. Gilbert L, Raff, Michael J, et al. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computer tomography[J]. J Am Colleg Rardiol, 2005, 46(8):552-557.
9. 金光临, 刘幼文, 左辉华, 等. 冠状动脉瘤92例冠脉造影和临床特点分析[J]. 疑难病杂志, 2009, 8(6):325-326.
10. 张兆琪. 心血管疾病64排CT诊断学[M]. 北京:人民卫生出版社, 2008:67.
11. 张惠芬, 梁春华, 吴志红. 冠状动脉造影164例临床分析[J]. 河北医药, 2008, 30(11):1689-1690.
12. 曹志坚, 许茂盛, 陈智能, 等. 冠状动脉瘤样扩张的64层螺旋CT血管成像研究[J]. 中国临床医学影像杂志, 2013, 24(3):199-202.
13. Baer AZ, Rubin LG, Shapiro CA, et al. Prevalence of coronary artery lesions on the initial echocardiogram in Kawasaki syndrome[J]. Arch Pediatr Adolesc Med, 2006, 160(7):686-690.
14. Arishiro K, Nariyama J, Hoshiga M, et al. Vascular behçet's disease with coronary artery aneurysm[J]. Intern Med, 2006, 45(15):903-907.
15. Kaul U, Gupta RK, Kachru R. Large coronary artery aneurysms following sirolimus eluting stent implantation[J]. Heart, 2005, 91(2):234.
16. Gupta RK, Sapra R, Kaul U. Early aneurysm formation after drug-eluting stent implantation:an unusual life-threatening complication[J]. J Invasive Cardiol, 2006, 18(4):E140-E142.
17. 高艺花, 金成子. 巨大冠状动脉瘤超声表现1例分析[J]. 中国误诊学杂志, 2011, 11(4):974.
18. Manginas A, Cokkinos DV. Coronary artery ectasias:imaging, functional assessment and clinical implications[J]. Eur Heart J, 2006, 27(9):1026-1031.

West China Medical Journal

Study on the CT Features of Coronary Artery Aneurysm

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