scholarly journals Differences in fractional flow reserve derived from coronary computed tomography angiography according to coronary artery bifurcation angle

2022 ◽  
Vol 50 (1) ◽  
pp. 83-84
Author(s):  
Toshimitsu Tsugu ◽  
◽  
Kaoru Tanaka ◽  
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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