Ultrafast Computed Tomography in the Diagnosis and Evaluation of Anomalous Origin of the Right Coronary Artery.

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概要

• 論文の詳細を見る

• Anomalous origin of the right coronary artery may lead to myocardial ischemia despite the absence of atherosclerosis. We report the case of a 52-yearold man who was admitted to our hospital with exertional chest discomfort and palpitations. An anomalous origin of the right coronary artery was demonstrated by coronary angiography. There was no evidence of atherosclerosis in either the left or right coronary arteries. However, detailed information regarding the proximal portion of the anomalous artery was not acquired by coronary angiography. In this patient, ultrafast computed tomography (UFT) revealed an acute angle takeoff of the anomalous right coronary artery from the aorta. Furthermore, the proximal portion of the right coronary artery traversed the aorta and pulmonary trunk. This case illustrates that UFT is useful for detecting an anomalous origin of the coronary arteries and evaluating the mechanism of myocardial ischemia in patients with anomalous origin of the coronary arteries.

• International Heart Journal刊行会の論文

著者

• Kajinami Kouji

  Second Department Of Internal Medicine School Of Medicine Kanazawa University

• Yoshio Hiroyuki

  Second Department Of Internal Medicine School Of Medicine Kanazawa University

• Mabuchi Hiroshi

  Second Department Of Internal Medicine Kanazawa University

• INO Hidekazu

  Second Department of Internal Medicine, School of Medicine, Kanagawa University

• KAKU Bunji

  Second Department of Internal Medicine, School of Medicine, Kanazawa University

• SIMIZU Masami

  Second Department of Internal Medicine, School of Medicine, Kanazawa University

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