Coronary CT FFR vs Invasive Adenosine and Dobutamine FFR in a Right Anomalous Coronary Artery

Marius R Bigler; Anselm W Stark; Andreas A Giannopoulos; Adrian T Huber; Matthias Siepe; Alexander Kadner; Lorenz Räber; Christoph Gräni

doi:10.1016/j.jaccas.2022.06.009

Coronary CT FFR vs Invasive Adenosine and Dobutamine FFR in a Right Anomalous Coronary Artery

JACC Case Rep. 2022 Aug 3;4(15):929-933. doi: 10.1016/j.jaccas.2022.06.009.

Authors

Marius R Bigler¹, Anselm W Stark¹, Andreas A Giannopoulos^{2

3}, Adrian T Huber⁴, Matthias Siepe⁵, Alexander Kadner⁵, Lorenz Räber¹, Christoph Gräni¹

Affiliations

¹ Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
² Cardiac Imaging, Department of Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland.
³ Cardiology Department, University Hospital Zurich, Zurich, Switzerland.
⁴ Department of Radiology, Inselspital, University Hospital, University of Bern, Bern, Switzerland.
⁵ Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Switzerland.

Abstract

We present the management of an anomalous coronary artery originating from the opposite sinus of Valsalva with comprehensive diagnostic workup including noninvasive coronary computed tomography (CT) derived fractional flow reserve (FFR) and invasive dobutamine-volume challenge-FFR/intravascular ultrasound. After surgical operation, treatment success was quantified by anatomical and functional analysis in postoperative CT. (Level of Difficulty: Advanced.).

Keywords: ACAOS, anomalous coronary artery originating from the opposite sinus of Valsalva; CCTA, coronary computed tomography angiography; CT, computed tomography; ECG, electrocardiogram; FFR, fractional flow reserve; HR, heart rate; anomalous coronary artery originating from the opposite sinus of Valsalva; computational fluid dynamics; coronary computed tomography angiography; fractional flow reserve.

Publication types

Case Reports