Key result
64-detector CT successfully identified a rare coronary-to-bronchial-artery communication in a middle-aged man with exertional angina, serving as an alternative to cardiac catheterization.
Case Report (n=1)
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MDCT can serve as a noninvasive alternative to cardiac catheterization for identifying rare coronary anomalies such as coronary-to-bronchial-artery communications.
Development and refinement of multidetector computed tomography (MDCT) has brought the potential to replace conventional coronary angiography with a noninvasive technique that has comparable spatial and temporal resolution with a single breath-hold. Although clinical use of MDCT has largely been confined to evaluation of atherosclerotic coronary artery burden and coronary artery anomalies, it can be applied to diagnosis of other problems concerning the thoracic vasculature. We present the case of a middle-aged man who presented with recent-onset exertional angina: 64-detector CT was used as an alternative to cardiac catheterization and identified the underlying anatomic anomaly, a rare coronary-to-bronchial-artery communication. Clinicians should be aware that the newest generation of MDCT equipment may allow many patients to forego diagnostic cardiac catheterization without compromise in quality of care.
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Lee et al. (2007) conducted a case report in Recent-onset exertional angina (n=1). 64-detector CT (MDCT) vs. Cardiac catheterization was evaluated on Identification of underlying anatomic anomaly. 64-detector CT successfully identified a rare coronary-to-bronchial-artery communication in a middle-aged man with exertional angina, serving as an alternative to cardiac catheterization.
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