Coronary artery manifestation of ormond disease: The "mistletoe sign"

Pál Maurovich-Horvatx, Ferenc Imre Suhai, Csilla Czimbalmos, Attila Tóth, David Becker, Emese Kiss, Maros Ferencik, Udo Hoffmann, Hajnalka Vagó, Béla Merkely

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


A 69-year-old woman presented with symptoms of presumed cardiac involvement of idiopathic retroperitoneal fbrosis, otherwise known as Ormond disease. Distinct pericoronary tissue proliferations were depicted at cardiac magnetic resonance (MR) imaging and coronary computed tomographic (CT) angiography. On images, the coronary manifestation was termed the "mistletoe sign." The presence of the mistletoe sign on cardiac MR and coronary CT angiographic images is probably rare, but it might be a characteristic manifestation of retroperitoneal fbrosis. With the increasing number of noninvasive cardiac imaging tests performed worldwide, the recognition of the mistletoe sign could be helpful in diagnosing retroperitoneal fbrosis.

Original languageEnglish (US)
Pages (from-to)356-360
Number of pages5
Issue number2
StatePublished - Mar 2017

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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