Mahenthiran Jo, El Masry Hicham, Teague Shawn D, Shahriari Ali P
Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
J Cardiovasc Comput Tomogr. 2008 Jul-Aug;2(4):276-80. doi: 10.1016/j.jcct.2008.06.006. Epub 2008 Jun 6.
A 40-year-old man with a history of hypertension was admitted for a non-ST-segment myocardial infarction. A multidetector coronary computed tomography (MDCCT) showed proximal aortic intramural thickening with extrinsic thickening and luminal compression of the proximal left circumflex coronary artery. Subsequent surgical evaluation and positron emission tomography imaging showed evidence of active inflammation of the proximal aorta and coronary arteries. Hence, this case illustrates an uncommon cause of myocardial ischemia and the emerging complimentary role that MDCCT can play in such patients.
一名有高血压病史的40岁男性因非ST段心肌梗死入院。多层螺旋冠状动脉计算机断层扫描（MDCCT）显示主动脉近端壁内增厚，伴有外部增厚以及左回旋支冠状动脉近端管腔受压。随后的手术评估和正电子发射断层扫描成像显示主动脉近端和冠状动脉有活动性炎症迹象。因此，该病例说明了心肌缺血的一种罕见病因以及MDCCT在这类患者中可发挥的新的辅助作用。
