ABSTRACT
BACKGROUND: Computed tomography with fractional flow reserve (CT-FFR) is increasingly common in assessing coronary artery disease. CASE PRESENTATION: We report five cases of discrepancies that led to changes in treatment. CONCLUSIONS: This report highlights discordant findings between modalities, which should be considered during the diagnostic assessment of chest pain.
Subject(s)
Coronary Artery Disease , Coronary Stenosis , Fractional Flow Reserve, Myocardial , Humans , Coronary Stenosis/diagnostic imaging , Coronary Stenosis/therapy , Coronary Angiography/methods , Sensitivity and Specificity , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/therapy , Tomography, X-Ray Computed/methods , Computed Tomography Angiography/methods , Predictive Value of Tests , Retrospective StudiesSubject(s)
Hypereosinophilic Syndrome/diagnosis , Pulmonary Eosinophilia/diagnosis , Adult , Cerebral Angiography , Contrast Media , Diagnosis, Differential , Humans , Hypereosinophilic Syndrome/diagnostic imaging , Hypereosinophilic Syndrome/drug therapy , Magnetic Resonance Imaging , Male , Pulmonary Eosinophilia/diagnostic imaging , Pulmonary Eosinophilia/drug therapy , Tomography, X-Ray ComputedABSTRACT
We present a case of a 34-day-old baby boy with congestive heart failure and differential cyanosis. Based on echocardiography and confirmed with computed tomography angiography, the following abnormalities were detected: aortopulmonary window, aortic origin of the right pulmonary artery, patent ductus arteriosus, and hypoplasia/coarctation of the aorta. No other congenital abnormalities were detected, and a diagnosis of Berry Syndrome type 2B was made. No preoperative cardiac catheterization or angiocardiography was needed. The patient underwent complete surgical repair of the aortopulmonary window and reconstruction of the hypoplastic aortic arch. This case highlights the value of cross-sectional imaging with computed tomography angiography in the evaluation of complex congenital heart disease.
