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In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
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In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography

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Multiple coronary aneurysms, ectasia, and myocardial infarction evaluated by multidetector row CT in a young adult

Dong Hun Kim, Jung Hwa Hwang, Duk Won Bang

    International Journal of Cardiology
    |February 13, 2009
    PubMed

    Insights

    Coronary aneurysms and ectasia can lead to myocardial infarction. Multidetector computed tomography identified these conditions along with vasculitis in a young woman.

    Area of Science:

    • Cardiology
    • Radiology
    • Immunology

    Background:

    • Coronary aneurysms and ectasia are uncommon but serious conditions.
    • Myocardial infarction can be a sequela of coronary artery abnormalities.
    • Conventional angiography and echocardiography are standard diagnostic tools.

    Observation:

    • A 31-year-old woman presented with symptoms suggestive of coronary artery disease.
    • She was found to have multiple coronary aneurysms and ectasia.
    • Myocardial infarction was also diagnosed.

    Findings:

    • Multidetector row computed tomography (MDCT) was utilized for imaging.
    • MDCT revealed non-specific vasculitis as the underlying cause.
    • The findings correlated with the observed coronary abnormalities and myocardial infarction.

    Implications:

    • MDCT is a valuable tool for diagnosing complex coronary artery pathologies.
    • Early identification of vasculitis is crucial for managing coronary aneurysms and ectasia.
    • This case highlights the importance of considering vasculitis in young patients with myocardial infarction.

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