Abstract
This chapter deals with various CT imaging features of non-atherosclerotic, non-anomalous coronary artery diseases, including coronary artery inflammation, infection, trauma, substance use, embolism, spasm, dissection, and extrinsic compression or invasion. Non-atherosclerotic coronary artery disease can present as aneurysm, ectasia, luminal stenosis, or occlusion. Each disease entity has typical imaging features radiologists should be familiar with.
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Kim JA, Chun EJ, Choi SI, Kang JW, Lee J, Lim TH. Less common causes of disease involving the coronary arteries: MDCT findings. AJR Am J Roentgenol. 2011;197(1):125–30.
Johnson PT, Fishman EK. CT angiography of coronary artery aneurysms: detection, definition, causes, and treatment. AJR Am J Roentgenol. 2010;195(4):928–34.
Waller BF, Fry ET, Hermiller JB, Peters T, Slack JD. Nonatherosclerotic causes of coronary artery narrowing – part III. Clin Cardiol. 1996;19(8):656–61.
Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis. 1997;40(1):77–84.
Diaz-Zamudio M, Bacilio-Perez U, Herrera-Zarza MC, Meave-Gonzalez A, Alexanderson-Rosas E, Zambrana-Balta GF, Kimura-Hayama ET. Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics. 2009;29(7):1939–54.
Cohen P, O’Gara PT. Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev. 2008;16(6):301–4.
Markis JE, Joffe CD, Cohn PF, Feen DJ, Herman MV, Gorlin R. Clinical significance of coronary arterial ectasia. Am J Cardiol. 1976;37(2):217–22.
Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, Shulman ST, Bolger AF, Ferrieri P, Baltimore RS, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Circulation. 2004;110(17):2747–71.
Sugimura T, Kato H, Inoue O, Fukuda T, Sato N, Ishii M, Takagi J, Akagi T, Maeno Y, Kawano T, et al. Intravascular ultrasound of coronary arteries in children. Assessment of the wall morphology and the lumen after Kawasaki disease. Circulation. 1994;89(1):258–65.
Matsunaga N, Hayashi K, Sakamoto I, Ogawa Y, Matsumoto T. Takayasu arteritis: protean radiologic manifestations and diagnosis. Radiographics. 1997;17(3):579–94.
Park JH, Chung JW, Im JG, Kim SK, Park YB, Han MC. Takayasu arteritis: evaluation of mural changes in the aorta and pulmonary artery with CT angiography. Radiology. 1995;196(1):89–93.
Matsubara O, Kuwata T, Nemoto T, Kasuga T, Numano F. Coronary artery lesions in Takayasu arteritis: pathological considerations. Heart Vessels Suppl. 1992;7:26–31.
Korbet SM, Schwartz MM, Lewis EJ. Immune complex deposition and coronary vasculitis in systemic lupus erythematosus. Report of two cases. Am J Med. 1984;77(1):141–6.
Matayoshi AH, Dhond MR, Laslett LJ. Multiple coronary aneurysms in a case of systemic lupus erythematosus. Chest. 1999;116(4):1116–8.
McKeown F. Dissecting aneurysm of the coronary artery in arachnodactyly. Br Heart J. 1960;22(3):434–6.
Onoda K, Tanaka K, Yuasa U, Shimono T, Shimpo H, Yada I. Coronary artery aneurysm in a patient with Marfan syndrome. Ann Thorac Surg. 2001;72(4):1374–7.
Savunen T, Inberg M, Niinikoski J, Rantakokko V, Vanttinen E. Composite graft in annulo-aortic ectasia. Nineteen years’ experience without graft inclusion. Eur J Cardiothorac Surg. 1996;10(6):428–32.
Gulati GS, Gupta A, Juneja R, Saxena A. Ectatic coronary arteries in Noonan syndrome. Tex Heart Inst J. 2011;38(3):318–9.
Pena E, Nguyen ET, Merchant N, Dennie C. ALCAPA syndrome: not just a pediatric disease. Radiographics. 2009;29:553–65.
Kim H, Park EA, Lee W, Chung JW, Park JH. Multiple cerebral and coronary aneurysms in a patient with left atrial myxoma. Int J Cardiovasc Imaging. 2012;28 Suppl 2:129–32.
Waller BF, Fry ET, Hermiller JB, Peters T, Slack JD. Nonatherosclerotic causes of coronary artery narrowing – part II. Clin Cardiol. 1996;19(7):587–91.
Mirza A. Myocardial infarction resulting from nonatherosclerotic coronary artery diseases. Am J Emerg Med. 2003;21(7):578–84.
Yasue H, Nakagawa H, Itoh T, Harada E, Mizuno Y. Coronary artery spasm – clinical features, diagnosis, pathogenesis, and treatment. J Cardiol. 2008;51(1):2–17.
Yasue H, Kugiyama K. Coronary spasm: clinical features and pathogenesis. Intern Med. 1997;36(11):760–5.
Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, Gersh BJ, Khambatta S, Best PJ, Rihal CS, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126(5):579–88.
Kruskal JB, Hartnell GG. Nonatherosclerotic coronary artery disease: more than just stenosis. Radiographics. 1995;15(2):383–96.
Aggarwala G, Iyengar N, Horwitz P. Cardiac mass presenting as ST-elevation myocardial infarction: case report and review of the literature. J Invasive Cardiol. 2008;20(11):628–30.
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Park, EA., Lee, W. (2015). Nonatherosclerotic Coronary Artery Disease. In: Lim, TH. (eds) Practical Textbook of Cardiac CT and MRI. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36397-9_9
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