Young patients with multi-vessel disease and angiographic correlation

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).

Comments

[Kim]

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.