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Native aorto-ostial coronary lesions on CT coronary angiogram
Authors:Jan Y J Riley  Kai'En Leong  Kristian H Mortensen  Ben Ariff  Deepa Gopalan
Institution:1.Department of Radiology, Hammersmith Hospital, Imperial College Healthcare NHS trust, London, United Kingdom;2.Department of Diagnostic Imaging, Monash Health, Melbourne, Australia;3.Cardiorespiratory Unit, Great Ormond Street Hospital, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom;4.Department of Radiology, Cambridge University Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom
Abstract:Aorto-ostial coronary lesions (AOLs) are important to detect due to the high risk of catastrophic consequences. Unfortunately, due to the complexities of these lesions, they may be missed on invasive coronary angiography. Computed tomography coronary angiogram (CTCA) is highly sensitive and specific in detecting AOLs, and has the additional advantage of demonstrating the surrounding anatomy. CTCA is particularly useful when assessing for AOL aetiologies in addition to atherosclerotic disease, e.g. Congenital anomalies, extrinsic Compression, Iatrogenic, Arteritis and Other, such as Thrombus, Embolism, Dissection and Spasm. This gives rise to “CIAO (TEDS)” as a proposed aide-mémoire and will form the structure of this pictorial review.
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