Aortitis With Associated Left Main Coronary Artery Stenosis: Role of Cardiac Computed Tomography

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• 作者：Gonzalo Luis Alonso Salinas ; MD^a ; ^{gonzalol.alonso@gmail.com} ; Sara Fernandez Santos ; MD^a ; Ignacio Pinilla Pagnon ; MD^b ; Javier Miguelena Hycka ; MD^c ; Ines Pecharromá ; n ; MD^d ; Marcelo Sanmartí ; n Ferná ; ndez ; MD ; PhD^a ; Marina Pascual Izco ; MD^a ; Jose Julio Jimenez-Nacher ; MD ; PhD^a ; Covadonga Fernandez-Golfin ; MD^a ; Jose Luis Zamorano ; MD ; PhD^a
• 刊名：Canadian Journal of Cardiology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：32
• 期：12
• 页码：1574.e5-1574.e7
• 全文大小：1030 K
• 卷排序：32

文摘

We report on a 49-year-old man who presented to the emergency department with progressive angina. Echocardiography displayed severe aortic regurgitation and aortic valve thickening. The suspected diagnosis was acute aortic syndrome. Cardiac computed tomography showed circumferential thickening of the aortic wall and left main coronary artery ostial stenosis. Histologic examination showed diffuse aortic inflammation. No damage of any other organ or vascular structure was reported, and the final diagnosis was nonspecific aortitis. Differential diagnosis, prognosis, and therapeutic strategies are discussed.