Cardiac and great vessel calcifications in childhood

GAMUT

Cardiac and Great Vessel Calcifications

in Childhood

By George S. Bisset. III COMMON

Pericardial (eg, inflammatory, postsurgical, radiation, neoplasm,cyst) Ductus or ligamenturn arteriosum Valved or nonvalved conduits UNCOMMON

Myocardial (eg, trauma, infarction, postsurgical) Neoplasm of heart (especially fibroma, myxoma) Thrombus in chamber or great vessel Sinus of Valsalva aneurysm Coronary aneurysm (eg, congenital, Kawasaki syndrome) Coronary calcinosis Atherosclerosis (eg, progeria) Pulmonary arteries (pulmonary hypertension) Valvular (especially aortic or mitral) Endocardial fibroelastosis Idiopathic REFERENCES 1. Shabetai R: The Pericardium. Orlando, Fla: Grune & Stratton, 1981; 197 2. Prichard RW: Tumors of the heart: Review of the subject and report of one hundred and fifty cases. Arch Path01 1951;51:98-128

Fig 1. Case 1. Calcified coronary patient with Kawasaki syndrome. onstrating curvilinear calcifications right coronary arteries. (B) Lateral cation in the proximal left coronary Yutaka Sate.‘)

artery aneurysms in a [A) PA radiograph demin proximal left and view illustrating calcifiartery. (Courtesy of Dr

From the Department of Radiology, Children’s Hospital Medical Center, Cincinnati. and the University of Cincinnati College of Medicine. George S. Bisset, III: Pediatric Cardiologist, Children’s Hospital Medical Center, and Fellow in Pediatric Radiology, University of Cincinnati College of Medicine. Address reprint requests to George S. Bisset. III. MD, Department of Radiology, Children’s Hospital Medical Center, Elland and Bethesda Aves. Cincinnati, OH 45229. o 1985 by Grune & Stratton, Inc. 0037-I 98X/85/2003-0005$05.00/0 194

Fig 2. Case 2. valved right ventricular

Seminars in Roentgenology,

Postoperative outflow

Vol XX,

tract

calcification conduit.

No 3 (July),

1985:

in

a non-

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3. Ruskin H, Samuel E: Calcification arteriosus. Br J Radio1 1950;23:710-717 4. Beuren AJ, Schultz the arteries with coronary J 1969;87:78-83 5. Bisset GS, Hirschfeld

R, Sinapius calcification SS, Fischer

in the patent

ductus

D, et al: Calcinosis of in infancy. Am Heart WW,

et al: Myocar-

dial calcification in a neonate following open chest cardiac compression. Pediatrics 1984;73:100-103 6.. McGoon D: Long-term effects of prosthetic materials. In: Engle MA, Perloff JK (eds): Congenital Heart Disease After Surgery. Yorke Medical, 1983;177 7. Reeder MM, Felson B: Gamuts in Radiology. Cincinnati: Audiovisual Radiology of Cincinnati, 1975;E-34