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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Imaging of acquired coronary diseases: From children to adults
A Dehaene1, A Jacquier1, C Falque1
1Department of adult radiology, La Timone Hospital, AP-HM, Marseille, France.
Insights
Acquired coronary diseases like aneurysms and fistulae affect both children and adults. Understanding their causes, presentation, investigation, and treatment is crucial for managing these conditions.
Area of Science:
- Cardiology
- Vascular Medicine
- Pediatric Vasculitis
Background:
- Acquired coronary diseases encompass aneurysms, fistulae, dissections, and stenosis.
- These conditions can arise from various causes including Kawasaki disease, degenerative processes, infections, inflammation, or trauma.
Purpose of the Study:
- To elucidate acquired coronary diseases in childhood and adulthood.
- To detail their common presentations, diagnostic methods, and therapeutic principles.
Main Methods:
- Review of literature on acquired coronary abnormalities.
- Analysis of presentation patterns and diagnostic approaches.
- Synthesis of treatment principles for coronary diseases.
Main Results:
- Coronary aneurysms can be secondary to Kawasaki disease or other etiologies.
- Coronary fistulae involve abnormal connections between coronary arteries and other vessels or cardiac chambers.
- Coronary dissections may be spontaneous or post-traumatic, with potential for infarction or rupture.
Conclusions:
- Acquired coronary diseases present diverse etiologies and clinical manifestations.
- Comprehensive investigation and tailored treatment are essential for favorable outcomes.
- Understanding these conditions is vital for both pediatric and adult cardiology practices.
Abstract:
Acquired coronary diseases include aneurysms, fistulae, dissections, and stenosis. Aneurysms may occur secondarily to Kawasaki disease, a childhood vasculitis, the prognosis of which depends on the coronary involvement, or they may be degenerative, infectious, inflammatory, or traumatic in origin. Fistulae develop between the coronary arterial system and a pulmonary or bronchial artery, or cardiac cavity. Dissections may occur spontaneously or may be post-traumatic. These coronary abnormalities may be found incidentally or may present as complications, infarction or rupture. The goals of this article are to understand acquired childhood and adult coronary diseases and their usual means of presentation, the ways of investigating them, and the principles of their treatment.
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