conclusions this case indicates that delineation of coronary artery anatomy in atypical congenital giant right atrial aneurysm is of vital importance. closure of the aneurysmal sac, instead of aneurysmal resection, is a safer and more simple approach in atypical cases. case presentation this is a report on a 3.5-month-old male infant with imperforated anus and an unusual-shaped congenital giant...

To cite: Monigari N, Poondru RR, Shetty RK, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204009 DESCRIPTION We report the case of a 30-year-old woman who presented to the emergency department with rest angina on a background of 3-year history of active systemic lupus erythematosus (SLE) with lupus nephritis on immunosuppressants and steroids. The pat...

Coronary heart disease has been one of the main threats to human health. Coronary angiography is taken as the gold standard for the assessment of coronary artery disease. However, sometimes the images are difficult to visually interpret because of the crossing and overlapping of vessels in the angiogram. Also due to the low contrast of the image between the backdrop and the small blood vessels,...

The present article describes a case involving a 74-year-old woman who presented with atypical chest pain and was found to have a giant aneurysm of the left sinus of Valsalva. Computed tomography coronary angiography performed before surgery showed a left main stem arising from the superior aspect of the left coronary sinus (stretched superiorly over, but not within, the aneurysm sac). The pati...

BACKGROUND The ability to image the coronary arteries noninvasively would represent an advance in patient care. We have developed a magnetic resonance (MR) angiographic technique that allows the acquisition of complete images of coronary flow within a single breath-hold. By this method, the feasibility of noninvasive MR coronary angiography was evaluated in 25 subjects, including 19 healthy adu...

kawasaki disease (kd) is an acute vasculitis syndrome of unknown etiology. it occurs in infants and young children, affecting mainly small and medium-sized arteries, particularly the coronary arteries. generalized microvasculitis occurs in the first 10 days, and the inflammation persists in the walls of medium and small arteries, especially the coronary arteries, and changes to coronary artery ...

introduction: kawasaki syndrome is an acute febrile vasculitis with multiorgan involvment in children. the objective of this study was assessment of demographic, clinical and laboratory data of kawasaki patients in yazd. methods: in a descriptive-analytic study, the hospital records of patients treated for kawasaki disease in all hospitals with pediatric wards between march 1996 and march 2006 ...

As compared with the totality of congenital malformations of the heart, anomalies of the coronary vessels are relatively rare. In the literature, anomalous origin of these vessels has been taken adequately into account. Less emphasis has been laid, however, on conditions such as congenital aneurysms of the coronary arteries which probably occur more frequently than is commonly believed. The fol...

OBJECTIVES The MESA (Multi-Ethnic Study of Atherosclerosis) is a population-based study of 6,814 men and women. We sought to analyze the relationship between the extent of coronary artery calcium (CAC) at baseline and the severity of coronary stenoses in clinically indicated coronary angiography studies during follow-up. BACKGROUND CAC is an established predictor of major cardiovascular event...

Intravascular ultrasound (IVUS) imaging was performed to assess the coronary wall morphology in detail at 22 months after the onset of Kawasaki disease in a girl who had developed coronary aneurysms at 4 yr of age. The sites of persistent aneurysms demonstrated a dilated lumen with a marked symmetrical or asymmetrical thickening of the intima-media complex. This pathologic finding was also pres...