By Claudio Smuclovisky
Coronary Artery CTA: A Case-Based Atlas offers the reader with a overview of a large diversity of cardiac CT angiography (CCTA) instances from the educating dossier of Dr. Claudio Smuclovisky. each one case involves wide CCTA photographs, a quick background, prognosis, dialogue, and pearls and pitfalls. The objective of the booklet is to supply the reader with a wide diversity of CCTA circumstances that come with basic anatomy, congenital coronary anomalies, coronary artery illness, percutaneous coronary intervention, postsurgical coronary revascularization, and extra-coronary abnormalities. Dr. Smuclovisky is the Director of the South Florida scientific Imaging Cardiovascular Institute in Boca Raton, Florida, which has completed the winning integration of radiology, cardiology, and cardiothoracic surgical procedure. shut collaboration between specialties has been the foremost reason for their good fortune in attaining CCTA studies which are clinically proper and price potent, and their effects are offered right here. The discussions and pearls and pitfalls are designed to assist training radiologists, cardiologists, and cardiothoracic surgeons comprehend the present problems with scientific, intervention, and surgical sufferer administration of coronary artery CTA.
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Extra resources for Coronary Artery CTA: A Case-Based Atlas
Diagnosis The diagnosis is anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) and also known as Bland–White–Garland syndrome. Discussion ALCAPA is one of the most serious congenital coronary artery anomalies. Approximately 90% of untreated infants die in the first year of life and only a few patients survive to adulthood. Cardiac CT can easily confirm the diagnosis of ALCAPA and demonstrates collateral circulation between the RCA and LCA and a coronary steal into the pulmonary artery.
The thrombus in the occluded segment of the artery commonly has low density and may contain calcified atheromas. Although the age of the thrombus in a patient without an acute coronary syndrome usually cannot be ascertained, these are commonly referred to as chronic total occlusions. It may be challenging with CT to differentiate a subtotal from a total occlusion. In the subtotal occlusion, the transition zone is typically shorter, and a small channel of contrast density is identified. Pearls and Pitfalls Due to the timing of the acquisition of a CTA, it cannot be determined whether the arterial flow is antegrade or retrograde.
They are also vulnerable to plaque rupture and thrombosis. 4D and E). Pearls and Pitfalls Noncalcified plaques, causing high-grade stenosis, are commonly subtle and traverse only a short segment. In order not to miss the abnormality, it is important to use thin slice cMPR technique on the 3D workstation. 5 History An 80-year-old man presented with a history of increasing shortness of breath and no prior cardiac history. 5A–C). Additionally, there is a complex plaque in the mid-LAD, adjacent to the ostium of D1, causing high-grade obstruction.