Click on image to view larger version.

Figure 5 (a) A 62-year-old male patient with two-vessel disease and prior multiple percutaneous transluminal coronary angioplasty of left anterior descending, and known 60% right coronary artery lesion. Patient presents now with recurrent chest pain. The multidetector computed tomography reveals a high-grade lesion of the proximal right coronary artery as well as wall changes throughout the vessel (see arrows). (b) In the axial image the lesion severity is estimated to be 80%. (c) The conventional angiogram in right anterior oblique projection confirms the proximal lesion (thick arrow) as well as the wall changes (thin arrow).