Evidence map›Paper›PMID 37521572›Full record

ArticleJournal of cardiology cases2023

FFR-CT is extremely useful in detecting hemodynamically significant left-main coronary artery stenosis with right coronary artery hypoplasia: A case report.

Soji Kohyama, Yuichi Sawayama, Kohei Asada, Yousuke Higo, Kenji Kodama, Noriaki Yagi, Megumi Fukuyama, Atsushi Hayashi, Wataru Shioyama, Hiroshi Sakai and 2 more

Open access · hybridAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiology cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Soji KohyamaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Yuichi SawayamaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Kohei AsadaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Yousuke HigoDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Kenji KodamaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Noriaki YagiDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Megumi FukuyamaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Atsushi HayashiDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Wataru ShioyamaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Hiroshi SakaiDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Tomoya OzawaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Yoshihisa NakagawaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga, Japan.
Shiga University of Medical Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Left main coronary artery (LMCA) stenosis in patients with coronary artery disease (CAD) is associated with a significant increase in cardiac events, and determining its contribution to ischemia is essential. Currently, several noninvasive modalities are available for the ischemic assessment of CAD. In multi-vessel disease, including LMCA disease, the accuracy of myocardial perfusion scintigraphy (MPS) for detecting myocardial ischemia can be poor. Fractional flow reserve from computed tomography (FFR-CT) has emerged as a promising noninvasive modality that can provide functional myocardial ischemia information. Herein, we describe the case of a 50-year-old woman with type 2 diabetes who presented to the hospital due to intermittent chest pain on exertion. Coronary computed tomography angiography showed right coronary artery hypoplasia, 25 % stenosis in the LMCA, and 75 % stenosis in the left anterior descending. FFR-CT identified myocardial ischemia due to LMCA stenosis, but MPS did not. Invasive coronary angiography with conventional fractional flow reserve was mostly consistent with the results of FFR-CT. Learning objective: Fractional flow reserve from computed tomography (FFR-CT), which is a novel noninvasive method, can provide absolute, not relative, functional myocardial ischemia information by applying computational fluid dynamics to coronary computed tomography angiography on a lesion-by-lesion basis. FFR-CT can be extremely useful in detecting patients with left main coronary artery stenosis with right coronary artery hypoplasia.

Indexed as

Fractional flow reserve from computed tomographyLeft main coronary artery diseaseMyocardial perfusion scintigraphyRight coronary artery hypoplasia

Identifiers

PMID37521572
PMCPMC10382983
OpenAlexW4379057211

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.