Multidetector computed tomography (MDCT) in coronary surgery: first experiences with a new tool for diagnosis of coronary artery disease Hendrik Treede,

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Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Detection of Coronary Artery Stenoses by Low-Dose,

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The Annals of Thoracic Surgery

Presentation transcript:

Multidetector computed tomography (MDCT) in coronary surgery: first experiences with a new tool for diagnosis of coronary artery disease Hendrik Treede, MD, Christoph Becker, MD, Hermann Reichenspurner, MD, PhD, Andreas Knez, MD, Christian Detter, MD, Maximilian Reiser, MD, Bruno Reichart, MD The Annals of Thoracic Surgery Volume 74, Issue 4, Pages 1398-1402 (October 2002) DOI: 10.1016/S0003-4975(02)04010-9

Fig 1 American Heart Association model for segmental analysis of coronary arteries. Segments are marked by gray boxes and are numbered from 1 (proximal RCA) to 15 (posterolateral branch of LCX). (RCA= right coronary artery;LCA= left coronary artery;LAD= left anterior descending artery;LCX= left circumflex artery;V. cava sup.= superior vena cava;V. cava inf.= inferior vena cava.) The Annals of Thoracic Surgery 2002 74, 1398-1402DOI: (10.1016/S0003-4975(02)04010-9)

Fig 2 Multidetector computed tomography image of a 69-year-old symptomatic patient with multiple calcified nodules in the mainstem, left anterior descending artery, and right coronary artery corresponding to wall irregularities observed on selective coronary angiography. The Annals of Thoracic Surgery 2002 74, 1398-1402DOI: (10.1016/S0003-4975(02)04010-9)

Fig 3 Multidetector computed tomography images of a 63-year-old patient with generalized severe coronary artery disease. Multiple high-grade calcified stenoses are found in the entire left anterior descending artery (A) and the right coronary artery (B). The Annals of Thoracic Surgery 2002 74, 1398-1402DOI: (10.1016/S0003-4975(02)04010-9)

Fig 4 Three-dimensional volume-rendered multidetector computed tomography (MDCT) image of a 47-year-old male patient with a coronary abnormality: left and right coronary artery arise from a common orifice. The patient underwent MDCT scanning after the right coronary artery could not be found during selective coronary angiography. The Annals of Thoracic Surgery 2002 74, 1398-1402DOI: (10.1016/S0003-4975(02)04010-9)

Fig 5 (A) Multidetector computed tomography image of a 71-year-old male patient with high-grade symptomatic mainstem stenosis. The scan shows a single noncalcified low-density (corresponding to fat) plaque right before the left anterior descending artery branch, otherwise normal coronary arteries. (B) Coronary angiogram of the same patient. No statement about the origin of the stenosis can be made. The Annals of Thoracic Surgery 2002 74, 1398-1402DOI: (10.1016/S0003-4975(02)04010-9)