Heart and Vessels

, Volume 7, Supplement 1, pp 106–110 | Cite as

Coronary arterial involvement in aortitis syndrome: Assessment by exercise thallium scintigraphy

  • Tsunehiko Nishimura
  • Toshiisa Uehara
  • Kohei Hayashida
  • Takahiro Kozuka


It is important in patient management to evaluate coronary arterial involvement in aortitis syndrome. Twenty-one cases of aortitis syndrome who experienced chest pain were examined using exercise thallium scintigraphy. The patients were divided into 4 groups according to the angiographic findings. There were five patients with left main coronary arterial involvement (group A), four with left or right coronary arterial involvement (group B), nine with aortic regurgitation (group C), and three with pulmonary arterial involvement (group D). In groups A and B, all patients had positive ECGs and thallium perfusion defects. Group A patients showed extensive anterolateral perfusion defects, which were compatible with left main coronary arterial involvement. Groups C and D patients, who had normal coronary arteries, showed no remarkable perfusion defects although five had positive ECG findings. Thus, the sensitivity and specificity of exercise scintigraphy for detection of myocardial ischemia were 9/9 and 12/12, while those of stress ECG were 9/9 and 7/12 (58%), respectively. It is recommended that exercise thallium scintigraphy be used for detecting cllinically occult but significant coronary arterial involvement in aortitis syndrome with chest pain.

Key words

Aortitis syndrome Exercise thallium scintigraphy Left main coronary artery disease 


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Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Tsunehiko Nishimura
    • 1
    • 2
  • Toshiisa Uehara
    • 1
  • Kohei Hayashida
    • 1
  • Takahiro Kozuka
    • 2
  1. 1.Department of RadiologyNational Cardiovascular Center 5-7-1 FujishirodaiSuita, OsakaJapan
  2. 2.Department of RadiologyOsaka University, School of MedicineJapan

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