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European Journal of Echocardiography 2006 7(1):75-78; doi:10.1016/j.euje.2005.03.006
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Copyright © 2005, The European Society of Cardiology

Noninvasive evaluation of left circumflex coronary aneurysm by real-time three-dimensional echocardiography

Jeane M. Tsutsui*, Eulógio E. Martinez, Carlos E. Rochitte, Jose F. Ramires and Wilson Mathias, Jr.

Heart Institute (InCor), University of São Paulo Medical School, Laboratory of Echocardiography, Av. Dr. Enéas Carvalho Aguiar 44, 05403-900 – São Paulo, Brazil

Received 8 January 2005; received in revised form 13 February 2005; accepted after revision 6 March 2005.

* Corresponding author. Tel.: +55 11 30695274; fax: +55 11 30695293. jeanetsutsui{at}msn.com


  Abstract

The diagnosis of coronary aneurysms has already been described using transthoracic and transesophageal echocardiography. In the present report we demonstrated the use of real-time three-dimensional echocardiography for the diagnosis of a large left circumflex coronary aneurysm. The improved spatial resolution of this new imaging technique provided valuable information for anatomic characterization of the coronary aneurysm, allowing for distinction between the lumen and lining thrombus. The findings were confirmed by magnetic resonance imaging and coronary angiography.

Keywords: Three-dimensional echocardiography; Coronary artery aneurysm; Coronary artery disease


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