Non-invasive imaging of a coronary bypass stenosis using CT angiography in a patient with negative stress testing.
In patients with a low or intermediate probability of a coronary artery disease, ultrafast computer tomography (CT) of the coronary arteries and bypass grafts offer a novel approach for the evaluation of the coronary anatomy. The presented case impressively demonstrated the capability of ultrafast CT to show precisely the extent and localisation of a bypass artery stenosis in a patient with mild chest discomfort but negative stress testing. However, widespread screening of coronary artery disease with non-invasive imaging modalities can not be recommended until validated in larger studies that a complete visualization of all coronary arteries and bypass grafts can be achieved.
Franzen
Damian
D
Herz-Lungen Praxis, Berrenrather Str. 296, 50937, Köln, Germany. Franzen.Damian@t-online.de
Stamm
Ingo
I
Bauriedel
Gerhard
G
Beyer
Dieter
D
D000368:Aged; D000800:Angioplasty, Balloon; D017023:Coronary Angiography / Q000379:methods*; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000175:diagnosis / Q000628:therapy; D025401:Echocardiography, Stress; D005080:Exercise Test; D006083:Graft Occlusion, Vascular / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed