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Cardiac CT imaging for the diagnosis and management of thrombosis in a coronary artery aneurysm
  1. Rohan S Poulter,
  2. John F Younger
  1. Royal Brisbane & Women's Hospital, Department of Cardiology, Herston, Queensland, Australia
  1. Correspondence to Dr John Younger, Royal Brisbane & Women's Hospital, Butterfield St, Herston, Queensland 4030, Australia; john_younger{at}health.qld.gov.au

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A 30-year old presented with an acute coronary syndrome. Angiography demonstrated an aneurysm of a large diagonal artery (panel A) but no coronary stenosis. Cardiac CT angiography (CCTA) confirmed a fusiform aneurysm with thrombus (panel B) and the culprit subtotally occluded side branch. Spotty calcification suggested that the aneurysm was chronic (panel B inset). A perfusion defect in the territory supplied by the occluded vessel …

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