ArticleRadiology case reports2026
Arterial tortuosity syndrome with coronary artery involvement in a middle-aged female: A case report.
Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Arterial tortuosity syndrome (ATS) is a rare autosomal recessive connective-tissue arteriopathy characterized by diffuse elongation and tortuosity of large and medium-sized arteries. Although it is typically diagnosed during childhood, adult presentation may occur and can be overlooked when overt connective-tissue manifestations are absent; coronary involvement is uncommon but clinically important. A 41-year-old woman presented with a two-week history of exertional substernal chest pain and dyspnea. CT coronary angiography demonstrated marked tortuosity of the left main coronary artery with focal kinking approximately 6.8 mm from its origin and 40-45% luminal stenosis (CAD-RADS 2). Contrast-enhanced CT angiography of the chest, abdomen, and pelvis demonstrated generalized arterial elongation and marked tortuosity involving the thoracic aorta, supra-aortic branches, and abdominal aortic branches, together with early branching of the main pulmonary artery, without aneurysm, dissection, or intramural hematoma. Conventional coronary angiography was technically unsuccessful because of severe arterial tortuosity, with unsuccessful catheter advancement and coronary engagement despite radial and subsequent femoral access. The overall clinical and imaging findings were highly suggestive of ATS with coronary involvement, although molecular genetic confirmation was not available. The patient was managed conservatively with vascular risk-factor optimization and structured follow-up, with symptomatic improvement at one month. This case highlights that ATS may present in adulthood with coronary artery tortuosity and focal kinking and emphasizes the importance of recognizing diffuse multi-territory arterial tortuosity on CT. Comprehensive vascular imaging can establish a strong radiological suspicion of ATS, identify coronary involvement and procedural challenges, and guide surveillance even when genetic confirmation is unavailable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.