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This was a 35-years old man with chest pain, a positive stress test for anterior wall disease and a strong family history. He wanted a cardiac CT first before a catheter angiogram. The CT angiogram showed severe mid-RCA stenosis (Fig. 1), which was well seen on the catheter angiogram (Fig. 2). A proximal RCA lesion (arrowhead in Fig. 1) turned out to be an artifact. The LAD showed a severe proximal stenosis with ectasia on the CTA (Fig. 3) and the catheter angiogram (Fig. 4).
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Thanks for posting such an interesting case....I'm an RN, but it is so nice to be able to "see" what I'm dealing with in my patients. I don't get that opportunity very often.
Posted by: Kim | June 25, 2006 at 11:49 PM