A 74-year-old man with a history of high blood pressure, smoking, and cerebrovascular accident 6 months ago was admitted to our center for chest pain radiating to back. The blood pressure was 140/95 mmHg and pulse was 88/minute. Physical examination revealed an apical systolic murmur. Laboratory tests including evidence of Behcet disease, connective tissue disease, or autoimmune form of vasculi...

A 62-year-old man with personal history of arterial hypertension and smoking was admitted to our hospital with ST elevation myocardial infarction. Intravenous fibrinolytic therapy was given by emergency services during hospital transfer, which was effective. Routine coronary angiography showed moderate lesion on the proximal left anterior descending, proximal coronary aneurysm (Figure 1A, aster...

Coronary artery fistulae (CAF) represent the most frequent congenital anomalies influencing hemodynamic parameters of coronary arteries. However, CAF complicated with a huge aneurysm does not frequently occur. Determining the optimal management of symptomatic patients with CAF and aneurysm still remains a challenging problem, and has been traditionally considered as an indication for cardiac su...

OBJECTIVE The is to report immunohistochemical observations of aortic α-smooth muscle actin (SMA) expressions in patients with aortic aneurysm, acute aortic dissection, and coronary artery disease and to discuss phenotypic switching of smooth muscle cells (SMCs) of these lesions. METHODS Forty-nine consecutive patients scheduled for surgical treatment for acute type A aortic dissection (20 pa...

Ten years after experiencing an anterior myocardial infarction, a 71-year-old man underwent cardiac magnetic resonance imaging in the workup for placement of an implantable automatic defibrillator. A large anteroapical aneurysm was observed in the cine sequences (Figures 1A and B), and the signal difference between the tissue covering the aneurysm and the myocardium indicated extensive ventricu...

OBJECTIVES The purpose of this study was to compare the results of magnetic resonance angiography (MRA) with X-ray coronary angiography (XCA) in a pediatric population. BACKGROUND Coronary artery abnormalities in Kawasaki disease (KD) develop in about 15% to 25% of young patients, mostly in the form of aneurysms. METHODS Thirteen patients (12 male), age three to eight years, were studied. T...

To ascertain whether exercise testing might predict multivessel coronary disease and left ventricular aneurysm after a myocardial infarction, 154 patients with a single documented myocardial infarction who had both exercise testing and coronary angiography were grouped according to whether they had greater than or equal to 1 mm ST depression, greater than or equal to 1 mm ST elevation, or neith...

The coincidence of 3 different rare coronary artery anomalies is extremely rare, and has not been reported so far.We report multiple imaging findings of a giant coronary artery aneurysm, which has a fistulous connection to the right ventricle associated with anomalous origin of the anterior descending coronary artery from the right coronary artery in a 67-year-old woman who suffered with a 20-y...