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[Coronary insufficiency in panarteritis]
Kardiologiia
|May 1, 1978
Insights
Panarteritis of the aorta and its branches can affect coronary arteries, even without clear symptoms. Diagnostic imaging revealed characteristic "burnt tree" lesions in coronary artery origins.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Diagnostic Imaging
Context:
- Investigated thirty patients diagnosed with panarteritis affecting the aorta and its branches.
- Disease verification utilized aortography, coronarography, and autopsy findings.
- Highlighted the importance of comprehensive diagnostic approaches in vascular diseases.
Purpose:
- To investigate the presentation and diagnostic findings of panarteritis of the aorta and its branches.
- To characterize the involvement of coronary arteries in patients with this condition.
- To correlate imaging findings with pathological data.
Summary:
- Thirty patients with confirmed panarteritis of the aorta and its branches were studied.
- Coronarography revealed characteristic "burnt tree" lesions at the coronary artery origins in affected patients.
- A significant proportion of patients lacked overt clinical or ECG signs of coronary artery disease, underscoring the utility of direct angiography.
Impact:
- Demonstrates that coronary artery involvement in panarteritis can be occult clinically.
- Emphasizes the diagnostic value of coronarography in identifying "burnt tree" lesions.
- Provides insights into the morphological and localization patterns of arterial lesions in panarteritis.
Abstract:
Thirty patients with panarteritis of the aorta and its branches were investigated. The disease was verified by aortography, coronarography and autopsy data. On third of the patients had no clinical signs of the lesions of the coronary arteries, and ECG did not show myocardial hypertrophy. Coronaroangiography demonstrated lesions of the openings of the major coronary arteries by the type of the "burnt tree". Morphological picture and localization of the lesions were typical for the disease.