Role of cardiac computed tomography in the evaluation of coronary artery stenosis in patients with ascending aorta aneurysm detected at transthoracic echocardiography

Ludovico La Grutta, Massimo Midiri, Massimo Galia, Roberto Lagalla, Giuseppina Novo, Tommaso Vincenzo Bartolotta, Patrizia Toia, Salvatore Novo, Erica Maffei, Filippo Cademartiri, Daniele Ajello, Emanuele Grassedonio

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Abstract

Objective: The aim of our study was to evaluate the diagnostic performance of cardiac computed tomography (CCT) in the evaluation of coronary artery stenosis in patients with ascending aorta aneurysm detected at transthoracic echocardiography. Methods:We conducted a retrospective analysis of patientswith an aneurysm 45 mm or greater at transthoracic echocardiography who underwent CCT from2012 to 2014 in our hospital.We calculated the sensitivity, specificity, and positive and negative predictive values of CCT for the assessment of coronary artery stenosis (<50% or ≥50% stenosis) in patients who underwent conventional coronary angiography. Results: We included 104 patients (73 men, aged 64 [SD, 10.8]years) in our study. Obstructive coronary artery disease was found in 22.1% of patients. Sensitivity, specificity, and positive and negative predictive values of CCT for detecting significant stenoses were 100%, 98%, and 82% and 100% on a segment-by-segment analysis and 100%, 83%, and 65% and 100% on a per-patient analysis, respectively. Conclusions: Cardiac computed tomography provides a comprehensive evaluation of ascending aorta aneurysms and coronary artery tree.
Original languageEnglish
Pages (from-to)393-397
Number of pages5
JournalJournal of Computer Assisted Tomography
Volume40
Publication statusPublished - 2016

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Coronary Stenosis
Aneurysm
Echocardiography
Aorta
Tomography
Pathologic Constriction
Sensitivity and Specificity
Coronary Angiography
Coronary Artery Disease
Coronary Vessels

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

@article{525dbd3dee514f00bc2e49e11a9d8cf2,
title = "Role of cardiac computed tomography in the evaluation of coronary artery stenosis in patients with ascending aorta aneurysm detected at transthoracic echocardiography",
abstract = "Objective: The aim of our study was to evaluate the diagnostic performance of cardiac computed tomography (CCT) in the evaluation of coronary artery stenosis in patients with ascending aorta aneurysm detected at transthoracic echocardiography. Methods:We conducted a retrospective analysis of patientswith an aneurysm 45 mm or greater at transthoracic echocardiography who underwent CCT from2012 to 2014 in our hospital.We calculated the sensitivity, specificity, and positive and negative predictive values of CCT for the assessment of coronary artery stenosis (<50{\%} or ≥50{\%} stenosis) in patients who underwent conventional coronary angiography. Results: We included 104 patients (73 men, aged 64 [SD, 10.8]years) in our study. Obstructive coronary artery disease was found in 22.1{\%} of patients. Sensitivity, specificity, and positive and negative predictive values of CCT for detecting significant stenoses were 100{\%}, 98{\%}, and 82{\%} and 100{\%} on a segment-by-segment analysis and 100{\%}, 83{\%}, and 65{\%} and 100{\%} on a per-patient analysis, respectively. Conclusions: Cardiac computed tomography provides a comprehensive evaluation of ascending aorta aneurysms and coronary artery tree.",
author = "{La Grutta}, Ludovico and Massimo Midiri and Massimo Galia and Roberto Lagalla and Giuseppina Novo and Bartolotta, {Tommaso Vincenzo} and Patrizia Toia and Salvatore Novo and Erica Maffei and Filippo Cademartiri and Daniele Ajello and Emanuele Grassedonio",
year = "2016",
language = "English",
volume = "40",
pages = "393--397",
journal = "Journal of Computer Assisted Tomography",
issn = "0363-8715",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Role of cardiac computed tomography in the evaluation of coronary artery stenosis in patients with ascending aorta aneurysm detected at transthoracic echocardiography

AU - La Grutta, Ludovico

AU - Midiri, Massimo

AU - Galia, Massimo

AU - Lagalla, Roberto

AU - Novo, Giuseppina

AU - Bartolotta, Tommaso Vincenzo

AU - Toia, Patrizia

AU - Novo, Salvatore

AU - Maffei, Erica

AU - Cademartiri, Filippo

AU - Ajello, Daniele

AU - Grassedonio, Emanuele

PY - 2016

Y1 - 2016

N2 - Objective: The aim of our study was to evaluate the diagnostic performance of cardiac computed tomography (CCT) in the evaluation of coronary artery stenosis in patients with ascending aorta aneurysm detected at transthoracic echocardiography. Methods:We conducted a retrospective analysis of patientswith an aneurysm 45 mm or greater at transthoracic echocardiography who underwent CCT from2012 to 2014 in our hospital.We calculated the sensitivity, specificity, and positive and negative predictive values of CCT for the assessment of coronary artery stenosis (<50% or ≥50% stenosis) in patients who underwent conventional coronary angiography. Results: We included 104 patients (73 men, aged 64 [SD, 10.8]years) in our study. Obstructive coronary artery disease was found in 22.1% of patients. Sensitivity, specificity, and positive and negative predictive values of CCT for detecting significant stenoses were 100%, 98%, and 82% and 100% on a segment-by-segment analysis and 100%, 83%, and 65% and 100% on a per-patient analysis, respectively. Conclusions: Cardiac computed tomography provides a comprehensive evaluation of ascending aorta aneurysms and coronary artery tree.

AB - Objective: The aim of our study was to evaluate the diagnostic performance of cardiac computed tomography (CCT) in the evaluation of coronary artery stenosis in patients with ascending aorta aneurysm detected at transthoracic echocardiography. Methods:We conducted a retrospective analysis of patientswith an aneurysm 45 mm or greater at transthoracic echocardiography who underwent CCT from2012 to 2014 in our hospital.We calculated the sensitivity, specificity, and positive and negative predictive values of CCT for the assessment of coronary artery stenosis (<50% or ≥50% stenosis) in patients who underwent conventional coronary angiography. Results: We included 104 patients (73 men, aged 64 [SD, 10.8]years) in our study. Obstructive coronary artery disease was found in 22.1% of patients. Sensitivity, specificity, and positive and negative predictive values of CCT for detecting significant stenoses were 100%, 98%, and 82% and 100% on a segment-by-segment analysis and 100%, 83%, and 65% and 100% on a per-patient analysis, respectively. Conclusions: Cardiac computed tomography provides a comprehensive evaluation of ascending aorta aneurysms and coronary artery tree.

UR - http://hdl.handle.net/10447/203631

UR - http://journals.lww.com/jcat

M3 - Article

VL - 40

SP - 393

EP - 397

JO - Journal of Computer Assisted Tomography

JF - Journal of Computer Assisted Tomography

SN - 0363-8715

ER -