IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Severely Protruding Descending Aortic Atheroma
Katsuhiko Matsuyama, MD,
Yuji Narita, MD1,
Yuich Ueda, MD1
Department of Cardiovascular Surgery Chubu Rosai Hospital
1 Department of Cardio-Thoracic Surgery Nagoya University Graduate School of Medicine, Nagoya, Japan
Katsuhiko Matsuyama, MD, Tel: +81 52-652-5511, Fax: +81 52-653-3533, Email: k-matsuy{at}f3.dion.ne.jp, Department of Cardiovascular Surgery, Chubu Rosai Hospital, 1-10-6 Komei, Minato-ku, Nagoya, 455-8530, Japan.
A 67-year-old man was addressed in our hospital with persistent chest pain. He had atherosclerotic risk factors such as hypertension, smoking, and hyperlipidemia. Multi-detector row CT coronary angiography revealed severe left main coronary disease (Figure 1
), and simultaneously shaggy descending aorta with severe protruding plaque (Figure 2) was pointed out. Peripheral pulses of lower legs were well palpable. Emergent coronary artery bypass grafting was successfully performed under cardiopulmonary bypass because fortunately significant ascending aortic atheroma was not detected by epiaortic echocardiography. He was completely recovered without any complications, such as peripheral embolic episodes. He was doing well 1 year after surgery.
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Figure 1. Multi-detector row CT coronary angiography shows severe narrowing of the distal left main coronary artery involving bifurcation.
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Figure 2. Multi-detector row CT coronary angiography demonstrates "shaggy" descending aorta with severe atherosclerosis and mild calcification.
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Asian Cardiovasc Thorac Ann 2009;
17:332-333
© 2009 by SAGE Publications
DOI: 10.1177/0218492309338988
