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Images in Cardiovascular CT

Coronary CT angiography for chest pain in pseudoxanthoma elasticum and cardiac intervention management Carma Karam MDa,*, Gilles Soulat MDb, Dominique P. Germain MD, PhDc, Pascal Lacombe MDb, Olivier Dubourg MDa a

Cardiology Department, Ambroise Pare´ Hospital, Assistance Publique-Hoˆpitaux de Paris (AP-HP), Centre de re´fe´rence des Maladies Cardiaques He´re´ditaires, University of Versailles-Saint Quentin en Yvelines, UMR-EpReC, 9, Avenue Charles de Gaulle, Boulogne-Billancourt 92100, France b Radiology Department, Ambroise Pare´ Hospital (AP-HP), University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France c Division of Medical Genetics and UMR 1179, University of Versailles-Saint Quentin en Yvelines, Montigny, France

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abstract

Article history:

We describe the case of a rare cause of severe coronary artery disease in a young woman

Received 12 January 2015

without cardiovascular risk factors. Cardiac CT played an important role in diagnosis and

Received in revised form

cardiac management including coronary intervention.

12 February 2015

ª 2015 Society of Cardiovascular Computed Tomography. All rights reserved.

Accepted 14 February 2015 Available online 19 February 2015 Keywords: Pseudoxanthoma elasticum High-pressure balloon inflation Coronary aneurysm Intramyocardial path Cardiac computed tomography

A 42-year-old woman, with pseudoxanthoma elasticum (PXE) but no cardiovascular risk factor, presented with chest pain. Coronary CT angiography was performed on a 128-slice system using 70-mL intravenous contrast medium with a heart rate of 61 beats/min. CT examination revealed a severe proximal left anterior descending stenosis with poststenotic aneurysmal dilatation (Fig. 1), together with a nonsignificant

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Coronary CT angiography for chest pain in pseudoxanthoma elasticum and cardiac intervention management.

We describe the case of a rare cause of severe coronary artery disease in a young woman without cardiovascular risk factors. Cardiac CT played an impo...
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