scholarly journals DIAGNOSTIC VALUE OF A NON-INVASIVE COMPUTED TOMOGRAPHY ANGIOGRAPHY FOR ASSESSING HEMODYNAMIC SIGNIFICANCE OF NATIVE CORONARY ARTERY LESIONS USING FRACTIONAL FLOW RESERVE: A META-ANALYSIS

2015 ◽  
Vol 65 (10) ◽  
pp. A1133
Author(s):  
Hemang B. Panchal ◽  
Samit Bhatheja ◽  
Sreenivas P. Veeranki ◽  
Neil Barry ◽  
Timir Paul ◽  
...  
2019 ◽  
Vol 13 ◽  
pp. 117954681989459
Author(s):  
Shone O Almeida ◽  
Nasih M Ahmed ◽  
Ronald P Karlsberg

Left main coronary artery thrombus (LMCA-T) is a rare disease state and diagnosed with invasive coronary angiography (ICA). We present a case of LMCA-T diagnosed with coronary computed tomography angiography (CTA) and treated without ICA in a patient who presented to a hospital in the middle of war zone in Erbil, Iraqi Kurdistan. Coronary CTA performed 1 month later demonstrated resolution of the thrombus. Fractional flow reserve computed from computed tomography (FFR-CT; HeartFlow, Redwood City, CA) performed retrospectively confirmed that the clot was not hemodynamically significant at the time of diagnosis. This case demonstrates the diagnostic capabilities of coronary CTA and FFR-CT when ICA is not readily available.


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