title: Coronary computed tomography angiography without catheter angiography before bypass surgery in a patient with diffuse aortic atherosclerosis.
abstract: Patients with atheromatous plaques of the thoracic aorta undergoing coronary angiography are subjected to a substantial risk of catheter-related stroke or peripheral embolism. We describe a 49-year-old male patient with class III angina symptoms and extensive aortic plaque burden referred for coronary computed tomography angiography due to a high risk of catheterization-related cerebrovascular complications. On the basis of computed tomography angiography findings, the final decision on coronary artery bypass grafting with a modification of the surgical approach was made.
authors.affiliation: Department of Coronary Artery Disease, Institute of Cardiology, Warsaw, Poland.
authors.forename: Cezary
authors.initials: C
authors.lastname: Kepka
authors.forename: Maksymilian P
authors.initials: MP
authors.lastname: Opolski
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Juraszynski
authors.forename: Witold
authors.initials: W
authors.lastname: Ruzyllo
mesh_terms: D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D050197:Atherosclerosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods*