Published June 2006 | Version v1
Journal article

Elongated eccentric soft coronary plaque: major diagnostic pitfall on quantitative coronary angiography overpowered by computed tomography coronary angiography and intravascular ultrasound

  • 1. Rambam Medical Center, B. Rappaport Faculty of Medicine, Israel Institute of Technology, Haifa (Israel). Dept. of Radiology
  • 2. Rambam Medical Center, B. Rappaport Faculty of Medicine, Israel Institute of Technology, Haifa (Israel). Dept. of Radiology and Technion
  • 3. Rambam Medical Center, B. Rappaport Faculty of Medicine, Israel Institute of Technology, Haifa (Israel). Dept. of Cardiology
  • 4. Rambam Medical Center, B. Rappaport Faculty of Medicine, Israel Institute of Technology, Haifa (Israel). Dept. of Internal Medicine and Technion

Description

We describe a significant left anterior descending coronary lesion in a patient with unstable angina pectoris. This lesion was erroneously underestimated using quantitative coronary angiography; however, CT coronary angiography correctly showed a significant, elongated, eccentric, soft plaque that was later confirmed by repeated quantitative coronary angiography with intravascular ultrasound. As showed, CT coronary angiography may offer a reliable non-invasive alternative to quantitative coronary angiography and intravascular ultrasound by enabling a true 3-D coronary lumenogram combined with plaque detection and characterization Copyright (2006) Blackwell Publishing Asia Pty Ltd

Additional details

Publishing Information

Journal Title
Australasian Radiology
Journal Volume
50
Journal Issue
3
Journal Page Range
p. 267-270
ISSN
0004-8461
CODEN
AURDAW

Optional Information

Notes
9 refs., 3 figs.