Coronary CT FFR vs Invasive Adenosine and Dobutamine FFR in a Right Anomalous Coronary Artery
Marius Reto Bigler, Anselm W. Stark, Andreas A. Giannopoulos, A Huber, Matthias Siepe, Alexander Kadner, Lorenz Räber, Christoph Gräni
Abstract
We present the management of an anomalous coronary artery originating from the opposite sinus of Valsalva with comprehensive diagnostic workup including noninvasive coronary computed tomography (CT) derived fractional flow reserve (FFR) and invasive dobutamine-volume challenge-FFR/intravascular ultrasound. After surgical operation, treatment success was quantified by anatomical and functional analysis in postoperative CT. (Level of Difficulty: Advanced.)
Topics & Concepts
MedicineFractional flow reserveDobutamineCardiologyInternal medicineIntravascular ultrasoundRadiologyCoronary artery diseaseCoronary sinusRight coronary arteryArteryHemodynamicsCoronary angiographyMyocardial infarctionCoronary Artery AnomaliesVascular anomalies and interventionsCardiac Valve Diseases and Treatments