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eComment: Re: The heart of patients with aortic aneurysms: evidence from cardiac computed tomography

Bakoulev Center for Cardiovascular Surgery RAMS, Rublevskoe Shosse 135, 121552 Moscow, Russia

The heart of patients with aortic aneurysms: evidence from cardiac computed tomography

The subject of this article, in our opinion, is a highly topical issue, because despite the great advances in cardiovascular surgery and particularly in the surgical treatment of abdominal aortic aneurysm (AAA), concomitant coronary artery lesions still remain a serious problem [1].

In the 1980s great attention was paid to the detection of coronary artery lesions in patients with AAA [2]. At our center, we used to perform selective coronary angiography through the femoral or the axillary arteries, and even through the translumbar aortic approach for patients in whom AAA was accompanied by brachial artery obstruction.

Computed tomography (CT) has been successfully used for aortic aneurysm detection for a long time. A relatively recent CT-application technique for the examination of coronary arteries was sequentially tested on 16-, 32-and 64-slice CT scanners. Now this technique looks perfect [3].

Our experience of coronary arteries examination on 128-slice CT-scanner shows that such technique provides high quality diagnostic images, if all routine procedures are performed properly.

The authors of the article managed to demonstrate that the issue of a non-invasive detection of concomitant coronary artery lesions in patients with AAA might be considered to be solved.

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1. Stolzmann P, Phan C, Desbiolles L, Lachat M, Pfammatter T, Marincek B, Prokop M, Alkadhi H. The heart of patients with aortic aneurysms: evidence from cardiac computed tomography. Interact CardioVasc Thorac Surg 2009;9:769–774.[Abstract/Free Full Text]
2. Hertzer NR, Young JR, Kramer JR, Phillips DF, deWolfe VG, Ruschhaupt WF 3rd, Beven EG. Routine coronary angiography prior to elective aortic reconstruction: results of selective myocardial revascularization in patients with peripheral vascular disease. Arch Surg 1979;114:1336.[Abstract/Free Full Text]
3. Busch S, Johnson TR, Nikolaou K, von Ziegler F, Knez A, Reiser MF, Becker CR. Visual and automatic grading of coronary artery stenoses with 64-slice CT-angiography in reference to invasive angiography. Eur Radiol 2007;17:1445–1451.[CrossRef][Medline]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Permission Requests Google Scholar Articles by Bockeria, L. A. Articles by Makarenko, V. N. PubMed PubMed Citation Articles by Bockeria, L. A. Articles by Makarenko, V. N. Related Collections Related Article