A 'clover' coronary artery: Role of coronary computed tomography to indicate optimal treatment in aneurysmal coronary artery disease

Riccardo Gorla, Andrea MacChi, Irene Franzoni, Pietro Spagnolo, Alberto Margonato

Research output: Contribution to journalArticle

Abstract

We report the case of a 61-year-old man referred to our department for exertional angina with a history of tri-vessel aneurysmal coronary artery disease. Exercise stress echocardiography was positive for inferior wall hypokinesia. Coronary computed tomography (CT) provided a more accurate characterization of the coronary aneurysms. It detected a laminated thrombus of the proximal left anterior descending and a clover-like aneurysmal dissection of the proximal right coronary artery, which questioned the feasibility of coronary angioplasty. So, the patient was treated with medical therapy only. This case confirmed the importance of coronary CT as diagnostic tool for procedural risk assessment and definition of the most appropriate treatment in patients with coronary aneurysms.

Original languageEnglish
Pages (from-to)76-77
Number of pages2
JournalJournal of Cardiovascular Medicine
Volume14
Issue number1
DOIs
Publication statusPublished - Jan 2013

Keywords

  • coronary aneurysms
  • coronary artery disease
  • coronary computed tomography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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