Association of aortic root calcification severity with the extent of coronary artery calcification assessed by calcium-scoring dual-source computed tomography

Abstract Purpose To investigate the association between aortic root calcification (ARC) and coronary artery calcification (CAC) assessed by coronary artery calcium-scoring dual-source computed tomography (DSCT). Materials and methods We retrospectively analyzed 143 consecutive patients who underwent coronary artery calcium-scoring during coronary DSCT angiography. 57 patients had findings of ARC on calcium-scoring scans. ARC volume (ARCV) and Agatston coronary artery calcium score (CACS) were calculated. Chi-square test was used to assess differences of categorical variables between patients with and without ARC. Statistical significances between both groups were assessed with the independent-Sample t test. Results Compared with patients without ARC ( n  = 86), patients with ARC ( n  = 57) showed a significantly higher presence of CAC (87.7% vs. 24.4%; P  P  = 0.009) in patients with CAC. Patients with a calculated ARCV >40 mm 3 ( n  = 32) showed significantly higher rates of severe CAC (56.3% vs. 24.0%; P  = 0.014) compared with patients with an ARCV  3 ( n  = 25). Compared with patients without CAC ( n  = 42), patients with CAC ( n  = 101) showed a significantly higher presence of ARC (83.3% vs. 50.5%; P  3 vs. 29.7 ± 33.0 mm 3 ; P  = 0.003). Severe CAC ( n  = 24) correlated with an increased mean ARCV (122.3 ± 148.8 mm 3 ) compared to patients with minimal to moderate CAC ( n  = 33, mean ARCV: 61.9 ± 64.8 mm 3 ; P  Conclusions The extent of ARC is directly associated with the presence and degree of CAC on calcium-scoring scans during coronary DSCT angiography.