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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

                                              1. Jeudy J et al: Spectrum of coronary artery aneurysms: from the radiologic pathology archives. Radiographics. 38(1):11-36, 2018
                                              2. Pursnani A et al: Coronary CTA assessment of coronary anomalies. J Cardiovasc Comput Tomogr. 6(1):48-59, 2012
                                              3. Díaz-Zamudio M et al: Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics. 29(7):1939-54, 2009
                                              4. Cohen P et al: Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev. 16(6):301-4, 2008
                                              5. Murthy PA et al: MDCT of coronary artery aneurysms. AJR Am J Roentgenol. 184(3 Suppl):S19-20, 2005
                                              6. Waller BF: Nonatherosclerotic coronary heart disease. In Hurst JW et al: The Heart. 11th ed. New York: McGraw-Hill. 1181, 2004
                                              7. 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

                                                                                          1. Jeudy J et al: Spectrum of coronary artery aneurysms: from the radiologic pathology archives. Radiographics. 38(1):11-36, 2018
                                                                                          2. Pursnani A et al: Coronary CTA assessment of coronary anomalies. J Cardiovasc Comput Tomogr. 6(1):48-59, 2012
                                                                                          3. Díaz-Zamudio M et al: Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics. 29(7):1939-54, 2009
                                                                                          4. Cohen P et al: Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev. 16(6):301-4, 2008
                                                                                          5. Murthy PA et al: MDCT of coronary artery aneurysms. AJR Am J Roentgenol. 184(3 Suppl):S19-20, 2005
                                                                                          6. Waller BF: Nonatherosclerotic coronary heart disease. In Hurst JW et al: The Heart. 11th ed. New York: McGraw-Hill. 1181, 2004
                                                                                          7. Glickel SZ et al: Coronary artery aneurysm. Ann Thorac Surg. 25(4):372-6, 1978