Preoperative and postoperative evaluation of multiple giant coronary aneurysms by the use of coronary CT angiography with 64-MDCT: a case of multiple giant coronary aneurysms treated with aneurysmectomy and coronary artery bypass surgery

Yonsei Med J. 2009 Feb 28;50(1):160-3. doi: 10.3349/ymj.2009.50.1.160. Epub 2009 Feb 24.

Abstract

A coronary artery aneurysm is an uncommon disorder and is seen as a characteristic dilatation of a localized portion of the coronary artery. Clinical manifestation of a coronary artery aneurysm varies from an asymptomatic presentation to sudden death of a patient. Although coronary aneurysms are typically diagnosed by the use of coronary angiography, a new generation of coronary 64-slice multidetector computed tomography (64-MDCT) scanners have successfully been used for evaluating this abnormality in a noninvasive manner. In the present case, we performed coronary 64-MDCT scanning preoperatively and postoperatively on a patient with multiple giant coronary aneurysms. The use of coronary 64-MDCT may provide an evaluation technique not only for diagnosis but also for follow-up after surgery for this condition.

Keywords: Coronary aneurysm; computed tomography.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Coronary Aneurysm* / diagnostic imaging
  • Coronary Aneurysm* / pathology
  • Coronary Aneurysm* / surgery
  • Coronary Angiography*
  • Coronary Artery Bypass*
  • Humans
  • Male
  • Postoperative Care
  • Preoperative Care
  • Severity of Illness Index
  • Tomography, X-Ray Computed*