Journal of Cardiovascular Computed Tomography
Volume 2, Issue 2 , Pages 123-125, March 2008

Simultaneous assessment of coronary stenosis, myocardial perfusion, and ventricular function in a patient with acute myocardial infarction

Section of Cardiac Imaging, Cardiovascular Medicine, Cleveland Clinic, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA

Received 19 October 2007; accepted 16 January 2008. published online 01 February 2008.

Abstract 

Cardiac CT angiography (CTA) is an ideal tool to investigate cardiac and noncardiac causes of acute chest pain. In this case, careful planning of the CTA acquisition and reconstruction limits permitted not only the exclusion of aortic dissection and provided high resolution images of coronary anatomy but also showed a concordant abnormality in myocardial perfusion and ventricular function in the setting of an acute coronary syndrome. Detailed planning of every CTA acquisition reconstruction protocol is essential to obtain the information necessary for clinical decision-making strategies and interventions in the patient with chest pain.

Keywords: CTA, CT angiography, MIP, multiple intensity projection, PCI, percutaneous coronary intervention, OM-1, first obtuse marginal artery

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 Supplementary material for this article may be found at www.CardiacCTJournal.com.Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(08)00047-6

doi:10.1016/j.jcct.2008.01.002

Journal of Cardiovascular Computed Tomography
Volume 2, Issue 2 , Pages 123-125, March 2008