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Coronary artery vasculitis: assessment with cardiac multi-detector computed tomography

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Abstract

Coronary artery vasculitis is rare and comprises an array of inflammatory diseases. It often results in severe and life-threatening complications, including coronary artery aneurysm, coronary artery stenosis, intraluminal thrombosis, and microcirculation abnormalities. These may occur at a young age and are often silent in the early phases. Invasive coronary angiography is the gold standard for diagnosing coronary artery disease (CAD); however, multi-detector computed tomography (MDCT) is now widely regarded as a powerful non-invasive tool for the detection of CAD. It is important for clinicians to recognize the various CT findings associated with coronary artery vasculitis in order to promote accurate diagnosis and proper patient management. The purpose of this article is to present an overview of the conditions associated with coronary artery vasculitis, with an emphasis on etiology and cardiac MDCT diagnosis of CAD. Cardiac MDCT is clinically useful and can provide information for the accurate diagnosis and treatment of coronary vasculitis.

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Acknowledgments

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MEST) (No. 2011-0023624).

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Authors and Affiliations

  1. Department of Radiology, Seoul National University Bundang Hospital, 82, 173 Beon-gil, Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 436-707, Korea

    Chang Ho Jeon, Yeo Koon Kim, Eun Ju Chun & Sang Il Choi

  2. Department of Radiology, Inje University Ilsan Paik Hospital, 170, Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, 411-706, Korea

    Jeong A. Kim

  3. Department of Radiology, Korea University Guro Hospital, 148, Gurodong-ro, Guro-gu, Seoul, 152-703, Korea

    Hwan Seok Yong & Kyung Won Doo

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  1. Chang Ho Jeon
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  2. Yeo Koon Kim
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  3. Eun Ju Chun
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  4. Jeong A. Kim
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  7. Sang Il Choi
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Correspondence to Sang Il Choi.

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Jeon, C.H., Kim, Y.K., Chun, E.J. et al. Coronary artery vasculitis: assessment with cardiac multi-detector computed tomography. Int J Cardiovasc Imaging 31 (Suppl 1), 59–67 (2015). https://doi.org/10.1007/s10554-015-0652-8

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  • DOI: https://doi.org/10.1007/s10554-015-0652-8

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