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Cardiac
Diagnosis
Coronary Artery Disease
Coronary Artery Aneurysm
Coronary Artery Aneurysm
John P. Lichtenberger, III, MD
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Coronary artery aneurysm: Diameter > 1.5x normal adjacent segments; width > length & involves < 50% of vessel length
Coronary artery ectasia: Diameter > 1.5x normal adjacent segments; length > width & involves > 50% of vessel length
IMAGING
General Features
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Jeudy J et al: Spectrum of coronary artery aneurysms: from the radiologic pathology archives. Radiographics. 38(1):11-36, 2018
Pursnani A et al: Coronary CTA assessment of coronary anomalies. J Cardiovasc Comput Tomogr. 6(1):48-59, 2012
Díaz-Zamudio M et al: Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics. 29(7):1939-54, 2009
Cohen P et al: Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev. 16(6):301-4, 2008
Murthy PA et al: MDCT of coronary artery aneurysms. AJR Am J Roentgenol. 184(3 Suppl):S19-20, 2005
Waller BF: Nonatherosclerotic coronary heart disease. In Hurst JW et al: The Heart. 11th ed. New York: McGraw-Hill. 1181, 2004
Glickel SZ et al: Coronary artery aneurysm. Ann Thorac Surg. 25(4):372-6, 1978
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Coronary artery aneurysm: Diameter > 1.5x normal adjacent segments; width > length & involves < 50% of vessel length
Coronary artery ectasia: Diameter > 1.5x normal adjacent segments; length > width & involves > 50% of vessel length
IMAGING
General Features
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Jeudy J et al: Spectrum of coronary artery aneurysms: from the radiologic pathology archives. Radiographics. 38(1):11-36, 2018
Pursnani A et al: Coronary CTA assessment of coronary anomalies. J Cardiovasc Comput Tomogr. 6(1):48-59, 2012
Díaz-Zamudio M et al: Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics. 29(7):1939-54, 2009
Cohen P et al: Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev. 16(6):301-4, 2008
Murthy PA et al: MDCT of coronary artery aneurysms. AJR Am J Roentgenol. 184(3 Suppl):S19-20, 2005
Waller BF: Nonatherosclerotic coronary heart disease. In Hurst JW et al: The Heart. 11th ed. New York: McGraw-Hill. 1181, 2004
Glickel SZ et al: Coronary artery aneurysm. Ann Thorac Surg. 25(4):372-6, 1978
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