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Inflammatory aortitis with coronary arterial involvement by multidetector cardiac computed tomography

Jo Mahenthiran1, Hicham El Masry, Shawn D Teague

  • 1Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, IN 46202, USA. jmahenth@iupui.edu

Journal of Cardiovascular Computed Tomography
|December 17, 2008
PubMed

Insights

This case highlights aortic inflammation as an unusual cause of myocardial infarction. Multidetector coronary computed tomography (MDCCT) imaging aided in diagnosing this rare condition.

Area of Science:

  • Cardiology
  • Radiology
  • Inflammatory Diseases

Background:

  • Myocardial infarction typically arises from coronary artery atherosclerosis.
  • Aortic inflammation is an uncommon etiology for myocardial ischemia.

Observation:

  • A 40-year-old hypertensive male presented with non-ST-segment myocardial infarction.
  • Multidetector coronary computed tomography (MDCCT) revealed aortic intramural thickening and extrinsic compression of the left circumflex coronary artery.

Findings:

  • Positron emission tomography confirmed active inflammation in the proximal aorta and coronary arteries.
  • The findings suggest aortic inflammation as the cause of myocardial ischemia.

Implications:

  • This case underscores the importance of considering uncommon causes of myocardial ischemia.
  • MDCCT demonstrates a valuable role in diagnosing inflammatory aortic and coronary artery diseases.

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