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European Heart Journal Advance Access originally published online on December 15, 2007
European Heart Journal 2008 29(11):1438; doi:10.1093/eurheartj/ehm580
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Ventricular septal defect as casual finding in non-invasive CT-angiography

Rafael Romaguera1, Rafael Paya1, Francisco Ridocci1,* and Jordi Estornell2

1 Cardiology Department
2 CT and CMR Unit, ERESA, Consorcio Hospital General Universitario de Valencia, Avda Tres cruces 2, Valencia 46014, Spain

* Corresponding author. Tel: +34 961 97 20 00, extn 52284, Fax: +34 961 972 161, Email: ridocci_fra{at}gva.es

A 69 year-old man with history of diabetes, hypertension, and dyslipemia was admitted to emergency department for evaluation of chest pain with non-diagnostic ECG and negative myocardial markers. Multidetector CT angiography was performed without showing any significant coronary stenoses. Moreover CT showed small ventricular septal defect (arrows) (Panel A, volume rendering reconstruction) (Panels B and C, maximum intensity projection reconstruction). No interventricular shunt was demonstrated with colour doppler echocardiography. Only with Ultrasound contrast (Sonovue®) the shunt became patent (Panel D). Patient remains asymptomatic on medical therapy with ACE inhibitors and statins.

This case illustrates the importance of using reconstructions protocols not only for the study of coronary arteries morphology but also for other cardiac structures that are included in the same acquisition.

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This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
29/11/1438    most recent
ehm580v1
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