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Gepubliceerd in: Netherlands Heart Journal 1/2012

Open Access 01-01-2012 | Imaging in Cardiology

Giant coronary aneurysms: three-dimensional reconstruction

Auteurs: L. M. van Beek, H. Luijten

Gepubliceerd in: Netherlands Heart Journal | Uitgave 1/2012

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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.
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Electronic supplementary material

The online version of this article (doi:10.​1007/​s12471-011-0150-0) contains supplementary material, which is available to authorized users.
There are no financial disclosures
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.
Open AccessThis 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.
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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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Electronic supplementary material

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Metagegevens
Titel
Giant coronary aneurysms: three-dimensional reconstruction
Auteurs
L. M. van Beek
H. Luijten
Publicatiedatum
01-01-2012
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 1/2012
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-011-0150-0

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