Coronary Artery CTA: A Case-Based AtlasThis compendium of cardiac CT angiographic cases is a sampling of the breadth of real-world cases encountered in a busy practice with examples of pathology and normal variants. Dr. Claudio Smuclovisky has assimilated the key image ?ndings from cardiac CT and coupled these with comp- mentary imaging documentation and key clinical history pieces that de?ne the diagnosis of each case. These cases include not only coronary artery anatomy, anomalies, and pathology but also thoracic and cardiac ano- lies and pathology encountered when performing cardiac CT angiography. Importantly, these cases serve as examples that enhance the educational experience for less-experienced interpreters, while providing a reference for more-experienced imagers. Documented within are also many unusual ?ndings not routinely encountered in a low-volume practice. Experience and exposure to the breadth of cardiac anatomic variants and disease p- cesses are a major component of building an imaging fund of knowledge. Cases of congenital heart disease, for example (less frequently enco- tered in the adult population), have important clinical and prognostic value that require communication to the referring physician. These attributes may not be fully characterized or may be missed if the CT angiography (CTA) imager is only focused on the coronary arteries and not the entire set of images. This compendium will widen the exposure of new interpreters and also serve as a reference when dif?cult cases are encountered. |
Contents
| 1 | |
2 Congenital Coronary and Other Anomalies | 11 |
3 Coronary Artery Disease | 32 |
4 Percutaneous Coronary Intervention | 69 |
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Common terms and phrases
64-slice CT anastomosis aneurysm aortic valve arterial graft artifact ascending aorta atrium atypical chest pain Axial CABG calcification cardiac CT Cardiol causing high-grade CCTA chronic total occlusion circumflex coronary artery clinical computed tomography coro Coronary angiogram coronary angiography coronary artery disease coronary intervention coronary sinus coronary stents CT angiography CT coronary angiography defect Diagnosis The diagnosis dilatation Discussion dissection distal anastomosis distal LAD distal RCA evaluation Findings heart high-grade obstruction high-grade stenosis History in-stent restenosis internal mammary artery left atrial left circumflex coronary left main coronary lesion LIMA graft lumen main coronary artery maximum intensity projection mid-LAD mid-RCA mitral myocardial infarct noncalcified plaque ostium patient Pearls and Pitfalls pericardial posterior posterior descending artery proximal LAD proximal RCA proximal segment pseudoaneurysm pulmonary artery Radiol restenosis right coronary artery right sinus RIMA septal short arrow sinus of Valsalva stenosis surgery syndrome Thorac thrombus ventricular Volume rendering wall