Left Main Coronary Artery Thrombus Diagnosed and Managed With Coronary Computed Tomography Angiography and Fractional Flow Reserve Derived From Computed Tomography
2019 ◽
Vol 13
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pp. 117954681989459
Keyword(s):
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.
2015 ◽
Vol 44
(2)
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pp. 580-589
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2012 ◽
Vol 59
(13)
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pp. E1205
2019 ◽
Vol 12
(12)
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pp. 2460-2471
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2012 ◽
Vol 13
(12)
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pp. 1001-1007
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2012 ◽
Vol 59
(15)
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pp. 1408-1409
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