Coronary Artery Vasculitis

Q4 Medicine

JACC. Case reports Pub Date : 2025-09-24 DOI:10.1016/j.jaccas.2025.105062

Tianhao Zhang MD , Juan Du MD , Hongkai Zhang MD, PhD , Xiaoming Zhang MD , Bokang Qiao PhD , Tianlong Chen MD , Yujie Zhou MD, PhD , Lei Xu MD, PhD , Lili Pan MD, PhD , Yu Du MD, PhD

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Abstract

Background

Coronary artery vasculitis (CAV) is a relatively rare etiology of coronary artery disease (CAD), which could lead to recurrent complications once treated with coronary stents. However, differentiating between CAV and atherosclerotic CAD is challenging.

Case Summary

Included in this case series were 10 symptomatic patients who were initially considered as having atherosclerotic CAD but were eventually diagnosed with CAV at our center from August 2021 to October 2024. We describe the clinical and imaging characteristics of these patients.

Discussion

This case series shows several classic CAV characteristics on coronary computed tomography angiography, raising the awareness of CAV misdiagnosis and highlighting the importance of timely order and dedicated imaging analysis for the diagnosis of CAV.

Take-Home Message

Coronary computed tomography angiography can provide comprehensive information on plaque characteristics, coronary artery wall abnormalities, and pericoronary inflammation, which can help cardiologists and radiologists differentiate between CAV and atherosclerotic CAD.

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冠状动脉血管炎

背景冠状动脉血管炎（CAV）是一种相对罕见的冠状动脉疾病（CAD）的病因，一旦接受冠状动脉支架治疗，可能导致复发性并发症。然而，区分CAV和动脉粥样硬化性CAD具有挑战性。本病例系列包括10例有症状的患者，他们最初被认为是动脉粥样硬化性CAD，但最终在我们中心诊断为CAV，时间为2021年8月至2024年10月。我们描述这些患者的临床和影像学特征。本病例系列显示了冠状动脉ct血管造影的几个典型CAV特征，提高了对CAV误诊的认识，并强调了及时有序和专门的影像学分析对CAV诊断的重要性。冠状动脉计算机断层血管造影可以提供斑块特征、冠状动脉壁异常和冠状动脉周围炎症的全面信息，这可以帮助心脏病学家和放射科医生区分CAV和动脉粥样硬化性CAD。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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