急诊部计算机断层血管造影诊断意外巨大右冠状动脉动脉瘤。

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-09-21 DOI:10.1002/jcu.70083

Stefano Giusto Picchi, Giulia Lassandro, Rosita Comune, Filomena Pezzullo, Stefania Tamburrini, Giulio Cocco, Nino Cocco, Domenico Tafuri, Antonio Corvino

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引用次数: 0

摘要

巨冠状动脉动脉瘤（GCAA）通常定义为直径> ~ 8mm或>为邻近正常节段的400%；它们非常罕见（报道患病率≈0.02%）。虽然冠状动脉造影是诊断的金标准，但计算机断层血管造影（CTA）提供了一种非侵入性、高灵敏度和特异性的替代方法。CTA可以详细显示动脉瘤形态并检测并发症。我们报告一名因胸痛而入院急诊的72岁男性病例，其中CTA在诊断GCAA和评估其潜在危及生命的并发症中发挥了关键作用，突出了其在急诊心血管成像中的价值。

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Unexpected Giant Right Coronary Artery Aneurysm Diagnosed by Computed Tomography Angiography in the Emergency Department.

Giant coronary artery aneurysms (GCAA) are usually defined as diameter > 8 mm or > 400% of the adjacent normal segment; they are very rare (reported prevalence ≈0.02%). Though coronary angiography is the diagnostic gold standard, computed tomography angiography (CTA) offers a non-invasive, highly sensitive, and specific alternative. CTA enables detailed visualization of aneurysm morphology and detection of complications. We present the case of a 72-year-old man admitted to the Emergency Department with chest pain, where CTA played a crucial role in diagnosing a GCAA and assessing its potential life-threatening complications, highlighting its value in emergency cardiovascular imaging.

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.