Pictorial essay: Uncommon causes of coronary artery encasement

Yong, Yan Rong; Lath, Narayan; Cheah, Foong Koon; Ng, Yuen Li

doi:10.1016/j.jcct.2016.07.004

Cited by 5 publications

(10 citation statements)

References 25 publications

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“…Coronary artery involvement manifested as hypermetabolic soft tissue masses surrounding the arterial lumens (Figs. 1, 2 and 3), an appearance that has very rarely been described in one of the key alternative diagnoses of lymphoma [13]. In all patients who had coronary artery involvement, the site of biopsy for initial diagnosis of IgG4-RD was remote from the coronary arteries (iliac vessel, kidney, and lip), but these biopsy sites were all shown to be FDG-avid on PET.…”

Section: Scan Featuresmentioning

confidence: 96%

The Utility of FDG PET/CT in IgG4-Related Disease with a Focus on Coronary Artery Involvement

Huang

Fong

Peh

et al. 2017

Nucl Med Mol Imaging

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FDG PET/CT is a useful tool in evaluation and follow-up of IgG4-RD, particularly in identifying alternative biopsy sites in patients who present with coronary artery involvement. Hypermetabolic coronary artery masses on FDG PET/CT should raise clinical suspicion of IgG4-RD. As the coronary artery masses may not show decrease in size after treatment, FDG PET/CT is also useful for metabolic response assessment.

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Section: Scan Featuresmentioning

confidence: 96%

The Utility of FDG PET/CT in IgG4-Related Disease with a Focus on Coronary Artery Involvement

Huang

Fong

Peh

et al. 2017

Nucl Med Mol Imaging

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] DelgadoGarcia and colleagues presented a case of tumorous formation encasing the left anterior descending artery. 1) Tumor resection and coronary bypass grafting relieved the myocardial ischemia.…”

Section: Coronary Artery Lesionsmentioning

confidence: 99%

Immunoglobulin G4-Related Cardiovascular Diseases

Misawa

2017

ATCS

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“…The derived differential diagnosis is narrow, involving inflammatory and neoplastic causes (Table 4). Most frequently, coronary artery involvement is found in adults with polyarteritis nodosa and in children with Kawasaki disease (20). Coronary CT angiography constitutes the best noninvasive technique for coronary artery evaluation (Fig 8).…”

Section: Coronary Involvementmentioning

confidence: 99%

“…IgG4-related Disease.-IgG4-related disease is characterized by IgG4-positive plasma cells and elevated concentrations of serum IgG4. IgG4related disease affects multiple organs and was first described in the pancreas (20). Idiopathic aortitis is an inflammatory noninfectious disease with isolated aortic involvement; the disease manifests with constitutional symptoms and aortic aneurysm.…”

Section: Other Entities With a Vasculitic Componentmentioning

confidence: 99%

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CT and MR Imaging of Cardiothoracic Vasculitis

Broncano¹,

Vargas²,

Bhalla³

et al. 2018

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The term vasculitis includes a variable group of entities in which the common characteristic is inflammation of the walls of blood vessels occurring at some time during the course of the disease. The vasculitides can be divided into primary and secondary vasculitides, depending on the etiology and according to the size of the vessel affected. Both primary vasculitis and secondary vasculitis are associated with cardiac morbidity that is often subclinical. Cardiac involvement is associated with prognostic implications and higher rates of related mortality. Vasculitis of cardiac structures and the assessment of disease extent are important for appropriate management and selection of treatment. Although echocardiography, radionuclide imaging, and catheter-directed coronary angiography remain the cornerstones of cardiac imaging, cardiac computed tomography and magnetic resonance imaging can offer a 360° assessment of cardiac anatomy, function, and complications secondary to vasculitis. Postoperative complications, which are more frequent in patients with active disease, can also be depicted with those imaging modalities. A multidisciplinary approach is important to yield an appropriate estimate of the disease activity and extent and, therefore, to enable better treatment selection and monitoring. Online supplemental material is available for this article. RSNA, 2018.

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Pictorial essay: Uncommon causes of coronary artery encasement

Cited by 5 publications

References 25 publications

The Utility of FDG PET/CT in IgG4-Related Disease with a Focus on Coronary Artery Involvement

The Utility of FDG PET/CT in IgG4-Related Disease with a Focus on Coronary Artery Involvement

Immunoglobulin G4-Related Cardiovascular Diseases

CT and MR Imaging of Cardiothoracic Vasculitis

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