Case 8200
Coronary artery stenosis was found by CTA--follow-up for 3.5 years
Author(s)
Qinyi Dai, Zhaoqi Zhang, Yi He
Patient
male, 255 year(s)
Clinical History
Coronary CTA is an noninvasive method for detached coronary arterial stenosis and follow up.
Imaging Findings
A 66-year-old male patient, who felt chest discomfort for 3 years. Coronary CTA in April 2006 showed not regular of LAD middle segment, no severe stenosis, and also nothing special at other coronary arteries. The patient has a hypertension history for 20 years, takes beta-blocker orally. No history of hypercholesterolemia, diabetes mellitus or smoking. Recent 2 months chest discomfort appeared more often with chest pain, so coronary CTA was suggested in October 2009 and showed local severe stenosis at LAD middle segment. ECG was negative, TnI 0.07ng/ml (0-0.05) and CK-MB 0.5ng/ml (0-3.6).
Discussion
Coronary angiography (CAG) confirmed LAD lesion of CTA and percutaneous coronary intervention was performed. Clinical symptoms were relieved.
Final Diagnosis
LAD stenosis was found by coronary CTA for 3.5 years.
MeSH
-
Coronary Disease
[C14.280.647.250]
An imbalance between myocardial functional requirements and the capacity of the coronary vessels to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. -
Tomography Scanners, X-Ray Computed
[E07.913]
X-ray image-detecting devices that make a focused image of body structures lying in a predetermined plane from which more complex images are computed.
References
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[1]Di Tanna GL, Berti E, Stivanello E, Cademartiri F, Achenbach S, Camerlingo MD, Grilli R (2008) Informative value of clinical research on multislice computed tomography in the diagnosis of coronary artery disease: A systematic review.. International Journal of Cardiology 130: P.386-404
Citation
Qinyi Dai, Zhaoqi Zhang, Yi He (2010, Mar 8).
Coronary artery stenosis was found by CTA--follow-up for 3.5 years, {Online}.
URL: http://www.eurorad.org/case.php?id=8200
