Abstract
A 31 year old man was referred for the evaluation of chest pain. Cardiac CT reconstruction revealed multiple calcified giant coronary aneurysms. Most likely this patient suffered from subclinical Kawasaki’s disease in his childhood.
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.Avoid common mistakes on your manuscript.
A 31-year-old man was referred for the evaluation of chest pain. Once a week he experienced midsternal chest pain during exercise. It typically lasted for minutes; sublingual nitroglycerin had no effect. He suffered an inferolateral myocardial infarction in April 2008, and had no known history of Kawasaki’s disease. A coronary angiogram (Movie 1) revealed multiple calcified giant aneurysms of the left (Fig. 1a) and the right (Fig. 1b) coronary artery. Magnetic resonance imaging showed good systolic left ventricular function with an akinetic basal inferoseptal wall and no evidence of systemic or cerebral arterial aneurysms. Nuclear myocardial imaging revealed no evidence of ischaemia. With combination therapy consisting of oral anticoagulation therapy, aspirin, β-blockade and a statin, the patient became free of symptoms. Cardiac computed tomography reconstruction (Movie 2) was performed to evaluate size, location and composition of the coronary artery aneurysms and for follow-up reference: giant aneurysms of the left (Fig. 1a/c/f) and the right (Fig. 1b/d/e) coronary artery. Most likely this patient suffered from subclinical Kawasaki’s disease in his childhood.
Open Access
This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
Author information
Authors and Affiliations
Corresponding author
Additional information
There are no financial disclosures
Rights and permissions
Open Access This is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License (https://creativecommons.org/licenses/by-nc/2.0), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
About this article
Cite this article
van Beek, L.M., Luijten, H. Giant coronary aneurysms: three-dimensional reconstruction. Neth Heart J 20, 42–43 (2012). https://doi.org/10.1007/s12471-011-0150-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12471-011-0150-0