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Resolution of an intra‐coronary filling defect in the proximal left anterior descending coronary artery demonstrated by 64‐slice multi‐detector computed tomography
Author(s) -
Halon David A.,
Rubinshtein Ronen,
Shiran Avinoam,
Lewis Basil S.
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20599
Subject(s) - medicine , circumflex , computed tomographic , myocardial infarction , lumen (anatomy) , coronary arteries , artery , acute coronary syndrome , radiology , cardiology , right coronary artery , computed tomography , coronary angiography
The evolution of acute coronary syndromes (ACS) is not always clearly understood, and our understanding has been limited by the absence of serial information regarding the coronary vasculature in these patients. We describe a young patient with an acute inferior wall myocardial infarction in whom repeat multi‐detector computed tomographic scanning (MDCT), supported by invasive studies, revealed a transient filling defect in the proximal left anterior descending coronary artery and nonobstructed circumflex and right coronary arteries. New generation 64‐slice MDCT scanning provides a new method for visualizing both the coronary lumen and coronary plaque, and may prove to be a useful tool in improving our understanding of the dynamics of ACS. © 2006 Wiley‐Liss, Inc.