EURORAD ESR

Case 10445

A case of coronary artery lesions with giant aneurysms in a patient with suspected Kawasaki Syndrome

Author(s)
Romagnoli Andrea, Sperandio Massimiliano, Coco Irene, Antonicoli Marco, Girardi Valentina, Simonetti Giovanni.

Department of Diagnostic Imaging,
Molecular Imaging,
Interventional Radiology and Radiotherapy,
Tor Vergata University Hospital,
University of Rome Tor Vergata, Italy.
Viale Oxford 81;
Email:ire.coco@hotmail.it
 
Patient
male, 53 year(s)
 
 
  • Figure 1
    CT examination

    CT shows fusiform calcific aneurysms at the circumflex coronary artery with a large eccentric parietal thrombosis.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;
     
     
  • Figure 2
    CT examination

    CT showed multiple aneurysmal dilatations in the most distal part of the circumflex branch.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;
     
     
  • Figure 3
    MIP CT reconstruction

    Thin Maximum Intensity Projection (MIP) coronary CT angiogram demonstrating the presence of fusiform calcific aneurysm at the proximal anterior descending coronary artery

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;
     
     
  • Figure 4
    MIP coronary reconstruction

    Thin Maximum Intensity Projection (MIP) coronary CT angiogram demonstrating the presence of two fusiform calcific aneurysms at the proximal anterior descending coronary artery and at the circumflex branch with other...

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;
     
     
  • Figure 5
    Volume rendering CT image

    Volume rendering CT image shows the giant coronary artery aneurysms secondary to Kawasaki disease at the level of the anterior descending artery and circumflex branch.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;
     
     
  • Figure 6
    Echocardiogram

    The echocardiogram of left parasternal long axis view showing enlargement of the left ventricle and Doppler signal demonstrating mitral flow regurgitation and force ejection reduction.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Echocardiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
CT shows fusiform calcific aneurysms at the circumflex coronary artery with a large eccentric parietal thrombosis.
 
CT showed multiple aneurysmal dilatations in the most distal part of the circumflex branch.
 
Thin Maximum Intensity Projection (MIP) coronary CT angiogram demonstrating the presence of fusiform calcific aneurysm at the proximal anterior descending coronary artery
 
Thin Maximum Intensity Projection (MIP) coronary CT angiogram demonstrating the presence of two fusiform calcific aneurysms at the proximal anterior descending coronary artery and at the circumflex branch with other multiple smaller dilatations.
 
Volume rendering CT image shows the giant coronary artery aneurysms secondary to Kawasaki disease at the level of the anterior descending artery and circumflex branch.
 
The echocardiogram of left parasternal long axis view showing enlargement of the left ventricle and Doppler signal demonstrating mitral flow regurgitation and force ejection reduction.
 
 
 
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