Progressive intra-individual radiation dose reduction during CT surveillance of a patient with ALCAPA syndrome.
We present the case of a young patient with Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery ( ALCAPA) syndrome who underwent reconstructive surgery and multiple cardiac computed tomography angiography (cCTA) studies for pre-surgical evaluation and follow-up. Throughout patient's clinical course, progressive implementation of radiation dose-saving techniques significantly lowered the radiation dose by 95%. This case highlights the capabilities of developing radiation protection strategies that drastically lower radiation exposure during cCTA.
Division of Heart and Vascular Center, Medical University of South Carolina, Charleston, South Carolina, USA. schoepf@musc.de
Mathias
M
Meyer
U Joseph
UJ
Schoepf
Christian
C
Fink
Anthony M
AM
Hlavacek
Thomas
T
Henzler
D000293:Adolescent; D017023:Coronary Angiography / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D004562:Electrocardiography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D011829:Radiation Dosage; D011835:Radiation Protection / Q000379:methods* / Q000706:statistics & numerical data; D019651:Plastic Surgery Procedures / Q000379:methods*; D013577:Syndrome; D014057:Tomography, X-Ray Computed / Q000379:methods*