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British Journal of Radiology (2006) 79, e133-e136
© 2006 British Institute of Radiology
doi: 10.1259/bjr/16077689

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Giant coronary artery aneurysm secondary to Kawasaki disease: diagnosis in an adult by multi-detector row CT coronary angiography

N E Manghat, MBChB, MRCP, FRCR 1 G J Morgan-Hughes, MBChB, MRCP, MD 2 I D Cox, MA, MD, MRCP 2 and C A Roobottom, MBChB(Hon), MRCP, FRCR 1

Departments of 1Clinical Radiology, 2Cardiology, Derriford Hospital, Plymouth, Devon PL6 8DH, UK


Figure 1
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Figure 1. (a) Axial section contrast-enhanced CT demonstrating a giant (9 mm) aneurysm of the distal left main stem artery and a further moderate-sized (6 mm) aneurysm of the left anterior descending and circumflex artery origins. (b) A "curved multiplanar reformation (MPR)" helps to more accurately demonstrate the calcified, saccular nature of the giant aneurysm and morphology of the more distal aneurysm.

 

Figure 2
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Figure 2. This volume rendered(VR) three-dimensional (3D) coronary arterial tree aids the localization and morphological evaluation of the aneurysms

 





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