Publish in this journal
Journal Information
NOTICE Undefined index: paginaFinal (librerias/utilidadesHtml-cardio.php[88])
Vol. 58. Issue 3.
Pages 301- (March 2005)
Share
Share
Download PDF
More article options
NOTICE Undefined index: paginaFinal (librerias/utilidadesHtml-cardio.php[88])
Vol. 58. Issue 3.
Pages 301- (March 2005)
DOI: 10.1016/S1885-5857(06)60492-1
Full text access
Complex Coronary Lesion Demonstrated With Multidetector CT
Lesión coronaria compleja demostrada con TC multidetector
Visits
5362
Gabriel C Fernándeza, Manuel Vilarb, Ramón Mantillac
a Servicio de Radiodiagnóstico, Centro Médico POVISA, Vigo, Pontevedra, Spain.
b Servicio de Cardiología, Centro Médico POVISA, Vigo, Pontevedra, Spain.
c Servicio de Cardiología y Hemodinámica, Hospital Meixoeiro, Vigo, Pontevedra, Spain.
This item has received
5362
Visits
Article information
Full Text
Download PDF
Statistics
Figures (3)
Show moreShow less
Full Text

A 45-year-old male, smoker, and with no other cardiovascular risk factors was hospitalized for an inferior myocardial infarction. Fibrinolysis treatment was administered causing the clinical and electrocardiograph signs to disappear. A contrast-enhanced CT examination using a 16-multidetector CT was performed 3 days later. An atherosclerotic plaque with density measurements less than 50 HU (Hounsfield units) was observed in the proximal right coronary artery (RCA) (Figure 1A). Also, a small perfusion defect was observed in the inferior wall of the LV (Figure 1B). This plaque was classified as a complex lesion with 60% stenosis of the vessel lumen in a 60%. Several days later the patient presented with exertional angina and a SPECT was performed demonstrating a perfusion defect in the inferior myocardial wall with signs of viability. A coronary stent was implanted in the RCA. Two months later, when the patient presented with a typical chest pain a multidetector CT examination. The CT showed the coronary stent in a correct location (Figure 2A, 2B) with permeability within the lumen (Figure 3a, 3B). Thus, a conventional coronary angiogram was avoided.

Fig. 1.

Fig. 2.

Fig. 3.

Vulnerable plaques with a lipid-rich core can be demonstrated with this non-invasive imaging method, particularly when they have a density values less than 50 HU. In addition, in this case as in many others, multidetector CT can be used to evaluate the location and permeability of a coronary stent.

Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.