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  • Title: Coronary computed tomography angiography without catheter angiography before bypass surgery in a patient with diffuse aortic atherosclerosis.
    Author: Kepka C, Opolski MP, Juraszynski Z, Ruzyllo W.
    Journal: J Thorac Imaging; 2011 May; 26(2):W48-50. PubMed ID: 20871417.
    Abstract:
    Patients with atheromatous plaques of the thoracic aorta undergoing coronary angiography are subjected to a substantial risk of catheter-related stroke or peripheral embolism. We describe a 49-year-old male patient with class III angina symptoms and extensive aortic plaque burden referred for coronary computed tomography angiography due to a high risk of catheterization-related cerebrovascular complications. On the basis of computed tomography angiography findings, the final decision on coronary artery bypass grafting with a modification of the surgical approach was made.
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