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Case report of severe coronary artery tortuosity with coexisting connective tissue disease

Zao-Xian Xu1, Yi Yang1, Shang-Ping Xin1

  • 1Department of Cardiac Rehabilitation, Zhe Jiang Hospital, Zhejiang, China.

Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
|February 10, 2023
PubMed

Insights

Coronary artery tortuosity (CAT) can indicate underlying connective tissue disease. This case study shows a patient whose severe CAT symptoms resolved with treatment, highlighting CAT as a diagnostic clue.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Rheumatology

Background:

  • Coronary artery tortuosity (CAT) is a morphological abnormality often identified during cardiovascular imaging.
  • The exact pathogenesis and clinical significance of CAT remain subjects of ongoing research.

Observation:

  • A 69-year-old female presented with recurrent chest discomfort, emaciation, gastrointestinal issues, and peripheral coldness.
  • Initial investigations revealed severe coronary artery tortuosity.

Findings:

  • The patient was diagnosed with severe coronary artery tortuosity coexisting with connective tissue disease.
  • Treatment involved conventional medications and lifestyle adjustments.

Implications:

  • This case suggests that coronary artery tortuosity may serve as an important diagnostic indicator for connective tissue diseases.
  • Further research is warranted to elucidate the relationship between CAT and systemic conditions.

Keywords:
connective tissue diseasecoronary artery tortuosityelectron-beam computed tomography angiography

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