Document Detail

Evaluation of anomalous aortic origins of the coronaries by 64-slice cardiac computed tomography.
MedLine Citation:
PMID:  17938619     Owner:  NLM     Status:  MEDLINE    
Approximately 20% of coronary artery anomalies produce sudden death or life-threatening symptoms, including arrhythmias, syncope, and myocardial infarction. The most common clinical symptom of coronary artery anomaly is angina or exertional syncope. Physical examination is usually unrevealing in the absence of myocardial infarction or symptoms of ongoing ischemia. The rapid advent of cardiac computed tomography (CT) technology has made it an important adjunct to the diagnosis of coronary anomalies by angiography. The authors describe the case of a 54-year-old white man who presented with gangrenous toes. He had severe peripheral vascular disease, a femoral-popliteal bypass graft, residual hemiparesis from an ischemic stroke, hypertension, deep vein thrombosis, and a recent myocardial infarction. He underwent a 64-slice cardiac CT angiogram, which showed an interarterial course of the left main coronary artery between the aorta and the pulmonary trunk.
Prabhjot Singh Nijjar; Anoop Parameswaran; Aman M Amanullah
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Reviews in cardiovascular medicine     Volume:  8     ISSN:  1530-6550     ISO Abbreviation:  Rev Cardiovasc Med     Publication Date:  2007  
Date Detail:
Created Date:  2007-10-16     Completed Date:  2008-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960007     Medline TA:  Rev Cardiovasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  175-81     Citation Subset:  IM    
Department of Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA.
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MeSH Terms
Aorta / abnormalities*
Aortography / instrumentation*
Coronary Vessel Anomalies / diagnosis*,  pathology,  radiography
Magnetic Resonance Angiography
Middle Aged
Tomography, X-Ray Computed / instrumentation*

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