Fantastic VoyageA Patient's Journey Through Cardiology From 1969 to 2008
Harvey S. Hecht, MD, FACC* and
Marc Colmer, MD, FACC
Lenox Hill Heart and Vascular Institute, New York, New York
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Figure 4 64-Detector CTA Images Obtained After ICD Placement in 2007
(Left) Curved multiplanar reconstruction of the patent left internal mammary artery (LIMA) implanted in the posterolateral wall. (Right) Curved multiplanar reconstruction of the patent right internal mammary artery (RIMA) implanted in the anterior wall. (Center) Three-dimensional volume-rendered image of the LIMA and RIMA. CTA = computed tomographic angiography; ICD = implantable cardioverter-defibrillator.
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Figure 5 Selective Coronary Angiography of the Internal Mammary Arteries
(A) Selective coronary angiogram of the left internal mammary implant connecting to a posterolateral branch of the circumflex coronary artery. (B) Selective coronary angiogram of the right internal mammary implant connecting to the diagonal branch of the left anterior descending coronary artery. See accompanying Online Videos 1 and 2.
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Figure 6 Right Coronary Artery Imaging by Computed Tomographic Angiography and Selective Coronary Angiography
Curved multiplanar reconstruction of the right coronary artery (A) revealing the severe proximal stenosis (arrow), confirmed by invasive coronary angiography (B, arrow), followed by revascularization (C, arrow) by implantation of a drug-eluting stent (C and D, arrows).
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