Coronary Artery CTA (eBook)

A Case-Based Atlas

Claudio Smuclovisky (Autor)

eBook Download: PDF

2009 | 2010
XVIII, 154 Seiten
Springer New York (Verlag)
978-1-4419-0431-7 (ISBN)

Infos

This new case-based book fills a gap in the literature by guiding the reader through the challenging clinical problems encountered in daily practice. Each case presents the clinician with a complete patient work-up that includes clinical history, radiological and clinical findings, treatment summary and suggested readings. Ideal for radiology and cardiology residents, as well as experienced physicians, this text helps the reader arrive at a diagnosis for each clinical problem presented.

Dr. Claudio Smuclovisky is the Director of the South Florida Medical Imaging Cardiovascular Institute in Boca Raton, Florida.

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This compendium of cardiac CT angiographic cases is a sampling of the breadth of real-world cases encountered in a busy practice with examples of pathology and normal variants. Dr. Claudio Smuclovisky has assimilated the key image ?ndings from cardiac CT and coupled these with comp- mentary imaging documentation and key clinical history pieces that de?ne the diagnosis of each case. These cases include not only coronary artery anatomy, anomalies, and pathology but also thoracic and cardiac ano- lies and pathology encountered when performing cardiac CT angiography. Importantly, these cases serve as examples that enhance the educational experience for less-experienced interpreters, while providing a reference for more-experienced imagers. Documented within are also many unusual ?ndings not routinely encountered in a low-volume practice. Experience and exposure to the breadth of cardiac anatomic variants and disease p- cesses are a major component of building an imaging fund of knowledge. Cases of congenital heart disease, for example (less frequently enco- tered in the adult population), have important clinical and prognostic value that require communication to the referring physician. These attributes may not be fully characterized or may be missed if the CT angiography (CTA) imager is only focused on the coronary arteries and not the entire set of images. This compendium will widen the exposure of new interpreters and also serve as a reference when dif?cult cases are encountered.

Inhalt

Foreword 6
Preface 8
Acknowledgments 11
Contents 12
1 Coronary Anatomy 15
Pearls and Pitfalls 19
Case 1.1 19
History 19
Findings 19
Diagnosis 19
Discussion 19
Pearls and Pitfalls 21
Case 1.2 21
History 21
Findings 22
Diagnosis 22
Discussion 22
Pearls and Pitfalls 22
Case 1.3 22
History 22
Findings 22
Diagnosis 23
Discussion 23
Pearls and Pitfalls 23
Suggested Readings 24
2 Congenital Coronary and Other Anomalies 25
Case 2.1 25
History 25
Findings 25
Diagnosis 25
Discussion 26
Pearls and Pitfalls 26
Case 2.2 26
History 26
Findings 26
Diagnosis 26
Discussion 26
Pearls and Pitfalls 26
Case 2.3 26
History 26
Findings 26
Diagnosis 28
Discussion 28
Pearls and Pitfalls 28
Case 2.4 28
History 28
Findings 28
Diagnosis 29
Discussion 29
Pearls and Pitfalls 29
Case 2.5 29
History 29
Findings 29
Diagnosis 29
Discussion 29
Pearls and Pitfalls 29
Case 2.6 30
History 30
Findings 30
Diagnosis 31
Discussion 31
Case 2.7 31
History 31
Findings 31
Diagnosis 32
Discussion 32
Pearls and Pitfalls 32
Case 2.8 32
History 32
Findings 32
Diagnosis 33
Discussion 33
Pearls and Pitfalls 34
Case 2.9 34
History 34
Findings 34
Diagnosis 35
Discussion 35
Pearls and Pitfalls 35
Case 2.10 35
History 35
Findings 35
Diagnosis 35
Discussion 35
Pearls and Pitfalls 35
Case 2.11 36
History 36
Findings 36
Diagnosis 36
Discussion 36
Pearls and Pitfalls 37
Case 2.12 37
History 37
Findings 37
Diagnosis 37
Discussion 37
Pearls and Pitfalls 38
Case 2.13 38
History 38
Findings 39
Diagnosis 39
Discussion 39
Pearls and Pitfalls 40
Case 2.14 40
History 40
Findings 40
Diagnosis 40
Discussion 40
Pearls and Pitfalls 42
Case 2.15 42
History 42
Findings 42
Diagnosis 42
Discussion 43
Pearls and Pitfalls 43
Suggested Readings 43
3 Coronary Artery Disease 46
Case 3.1 46
History 46
Findings 46
Diagnosis 46
Discussion 46
Pearls and Pitfalls 46
Case 3.2 47
History 47
Findings 47
Diagnosis 47
Discussion 47
Pearls and Pitfalls 48
Case 3.3 48
History 48
Findings 49
Diagnosis 49
Discussion 49
Histopathology of Atherosclerotic Lesions 49
Pearls and Pitfalls 50
Case 3.4 50
History 50
Findings 50
Diagnosis 50
Discussion 50
Pearls and Pitfalls 51
Case 3.5 51
History 51
Findings 52
Diagnosis 53
Discussion 53
Pearls and Pitfalls 53
Case 3.6 53
History 53
Findings 53
Diagnosis 53
Discussion 53
Pearls and Pitfalls 54
Case 3.7 54
History 55
Findings 55
Diagnosis 56
Discussion 56
Pearls and Pitfalls 56
Case 3.8 56
History 56
Findings 56
Diagnosis 56
Discussion 56
Pearls and Pitfalls 57
Case 3.9 57
History 57
Findings 58
Diagnosis 59
Discussion 59
Pearls and Pitfalls 59
Case 3.10 59
History 59
Findings 59
Diagnosis 59
Discussion 59
Pearls and Pitfalls 61
Case 3.11 61
History 61
Findings 61
Diagnosis 61
Discussion 61
Pearls and Pitfalls 61
Case 3.12 62
History 62
Findings 63
Diagnosis 63
Discussion 64
Pearls and Pitfalls 64
Case 3.13 64
History 64
Findings 64
Diagnosis 64
Discussion 64
Pearls and Pitfalls 65
Case 3.14 65
History 66
Findings 66
Diagnosis 67
Discussion 67
Pearls and Pitfalls 68
Case 3.15 68
History 68
Findings 68
Diagnosis 68
Discussion 68
Pearls and Pitfalls 68
Case 3.16 68
History 68
Findings 69
Diagnosis 71
Discussion 71
Pearls and Pitfalls 72
Case 3.17 72
History 72
Findings 72
Diagnosis 72
Discussion 72
Pearls and Pitfalls 74
Case 3.18 74
History 74
Findings 74
Diagnosis 76
Discussion 76
Pearls and Pitfalls 76
Case 3.19 76
History 76
Findings 76
Diagnosis 76
Discussion 77
Pearls and Pitfalls 78
Reference 78
Suggested Readings 78
4 Percutaneous Coronary Intervention 81
Case 4.1 81
History 81
Findings 81
Diagnosis 81
Discussion 81
Pearls and Pitfalls 83
Case 4.2 83
History 83
Findings 83
Diagnosis 83
Discussion 84
Pearls and Pitfalls 84
Case 4.3 84
History 84
Findings 84
Diagnosis 84
Discussion 84
Pearls and Pitfalls 86
Case 4.4 86
History 86
Findings 86
Diagnosis 86
Discussion 86
Pearls and Pitfalls 86
Case 4.5 87
History 87
Findings 87
Diagnosis 89
Discussion 89
Pearls and Pitfalls 89
Case 4.6 89
History 89
Findings 89
Diagnosis 89
Discussion 90
Pearls and Pitfalls 90
Case 4.7 90
History 90
Findings 90
Diagnosis 90
Discussion 90
Pearls and Pitfalls 91
Case 4.8 91
History 91
Findings 91
Diagnosis 92
Discussion 92
Pearls and Pitfalls 92
Case 4.9 92
History 93
Findings 93
Diagnosis 93
Discussion 93
Pearls and Pitfalls 93
Case 4.10 93
History 93
Findings 94
Diagnosis 94
Discussion 94
Pearls and Pitfalls 94
Case 4.11 94
History 95
Findings 95
Diagnosis 95
Discussion 96
Pearls and Pitfalls 96
Case 4.12 96
History 96
Findings 96
Diagnosis 96
Discussion 96
Pearls and Pitfalls 97
Case 4.13 97
History 97
Findings 97
Diagnosis 99
Discussion 99
Pearls and Pitfalls 99
References 99
Suggested Readings 99
5 Postsurgical Revascularization 102
Introduction 102
Arterial Grafts 104
Vein Grafts 104
Technical Considerations 105
Clinical CTA Review of Postsurgical Coronary Revascularization 105
Case 5.1 106
History 106
Findings 106
Diagnosis 106
Discussion 106
Pearls and Pitfalls 106
Case 5.2 107
History 107
Findings 108
Diagnosis 108
Discussion 108
Pearls and Pitfalls 108
Case 5.3 108
History 108
Findings 108
Diagnosis 110
Discussion 110
Pearls and Pitfalls 111
Case 5.4 111
History 111
Findings 111
Diagnosis 111
Discussion 111
Pearls and Pitfalls 111
Case 5.5 111
History 111
Findings 112
Diagnosis 112
Discussion 112
Pearls and Pitfalls 113
Case 5.6 114
History 114
Findings 114
Diagnosis 114
Discussion 114
Pearls and Pitfalls 114
Case 5.7 114
History 114
Findings 116
Diagnosis 116
Discussion 116
Pearls and Pitfalls 116
Case 5.8 116
History 117
Findings 117
Diagnosis 118
Discussion 118
Pearls and Pitfalls 118
Case 5.9 118
History 118
Findings 118
Diagnosis 118
Discussion 118
Pearls and Pitfalls 119
Case 5.10 119
History 119
Findings 119
Diagnosis 119
Discussion 119
Pearls and Pitfalls 120
Case 5.11 120
History 120
Findings 121
Diagnosis 121
Discussion 121
Pearls and Pitfalls 122
Case 5.12 122
History 122
Findings 122
Diagnosis 122
Discussion 122
Pearls and Pitfalls 122
Case 5.13 123
History 123
Findings 123
Diagnosis 124
Discussion 124
Pearls and Pitfalls 124
Case 5.14 124
History 125
Findings 125
Diagnosis 125
Discussion 126
Pearls and Pitfalls 126
Case 5.15 126
History 126
Findings 126
Diagnosis 126
Discussion 126
Pearls and Pitfalls 127
Case 5.16 127
History 128
Findings 128
Diagnosis 130
Discussion 130
Pearls and Pitfalls 131
Case 5.17 131
History 131
Findings 131
Diagnosis 131
Discussion 131
Pearls and Pitfalls 133
References 133
Suggested Readings 133
6 Extracoronary Abnormalities 136
Case 6.1 136
History 136
Findings 136
Diagnosis 136
Discussion 136
Pearls and Pitfalls 137
Case 6.2 137
History 137
Findings 137
Diagnosis 137
Discussion 138
Pearls and Pitfalls 138
Case 6.3 139
History 139
Findings 139
Diagnosis 139
Discussion 140
Pearls and Pitfalls 140
Case 6.4 140
History 140
Findings 140
Diagnosis 140
Discussion 140
Pearls and Pitfalls 141
Case 6.5 141
History 141
Findings 141
Diagnosis 141
Discussion 143
Pearls and Pitfalls 143
Case 6.6 143
History 143
Findings 143
Diagnosis 143
Discussion 143
Pearls and Pitfalls 144
Case 6.7 144
History 144
Findings 145
Diagnosis 145
Discussion 146
Pearls and Pitfalls 146
Case 6.8 146
History 146
Findings 146
Diagnosis 146
Discussion 148
Pearls and Pitfalls 148
Case 6.9 148
History 148
Findings 148
Diagnosis 148
Discussion 148
Pearls and Pitfalls 150
Case 6.10 150
History 150
Findings 150
Diagnosis 151
Discussion 151
Pearls and Pitfalls 151
Case 6.11 151
History 152
Findings 152
Diagnosis 152
Discussion 152
Pearls and Pitfalls 153
Case 6.12 153
History 153
Findings 153
Diagnosis 153
Discussion 153
Pearls and Pitfalls 153
Case 6.13 155
Extracoronary Disease 155
Suggested Readings 156
Index 159

Produkt-Details

• Erscheint lt. Verlag: 3.10.2009
• Zusatzinfo: XVIII, 154 p.
• Verlagsort: New York
• Sprache: englisch
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Kardiologie / Angiologie
• Themenwelt: Medizinische Fachgebiete ► Radiologie / Bildgebende Verfahren ► Computertomographie
• Themenwelt: Medizinische Fachgebiete ► Radiologie / Bildgebende Verfahren ► Radiologie
• Schlagworte: Artery • Bypass • Case-Based • CCTA • Congenital coronary abnormalities • coronary • coronary artery disease • CTA • Diagnosis • Extra coronary abnormalities • Percutaneous coronary intervention • Postsurgical revascularization • Stent
• ISBN-10: 1-4419-0431-X / 144190431X
• ISBN-13: 978-1-4419-0431-7 / 9781441904317