scholarly journals Fractional Flow Reserve and Intravascular Ultrasound of Coronary Artery Lesions Beyond the Left Main: A Review of Literature

2018 ◽  
Vol 19 (1) ◽  
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.


2011 ◽  
Vol 7 (2) ◽  
pp. 225-233 ◽  
Author(s):  
Itsik Ben-Dor ◽  
Rebecca Torguson ◽  
Michael A. Gaglia ◽  
Manuel A. Gonzalez ◽  
Gabriel Maluenda ◽  
...  

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