Shone O Almeida, Nasih M Ahmed, Ronald P Karlsberg
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引用次数: 0
摘要
左主干冠状动脉血栓(LMCA-T)是一种罕见的疾病状态，可通过有创冠状动脉造影(ICA)诊断。我们提出一个病例LMCA-T诊断冠状动脉ct血管造影(CTA)和治疗无ICA的病人谁提出了在埃尔比勒，伊拉克库尔德斯坦战区中部医院。1个月后冠脉CTA显示血栓溶解。由计算机断层扫描(FFR-CT)计算的分流储备;HeartFlow, Redwood City, CA)的回顾性研究证实，在诊断时，血栓没有血流动力学意义。本病例证明了冠状动脉CTA和FFR-CT在ICA不容易获得时的诊断能力。
Left Main Coronary Artery Thrombus Diagnosed and Managed With Coronary Computed Tomography Angiography and Fractional Flow Reserve Derived From Computed Tomography.
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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