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Coronary Artery Aneurysms in Ulcerative Colitis

Coronary Artery Aneurysms in Ulcerative Colitis▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Coronary CT demonstrates ectasias and multiple areas of aneurysm formation involving the LAD and mid RCA, with very tortuous vessels. There is also thinning of the LAD apex from an old LAD distribution infarct.

Key takeaways

There is an association of ulcerative colitis with coronary artery aneurysms, in addition to connective tissue diseases and other vasculitides. These aneurysms can lead to problems such as thrombus occlusion and myocardial infarction.

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