Read With the Experts: 4 High-Yield Cases with Teaching Points-Lesson 9.3

Lesson 9.3 - PET Cases (Multivessel CAD)

Video Transcription

Video Summary

Dr. Dennis Calnon presents a case demonstrating the efficacy of cardiac PET imaging for detecting multivessel coronary artery disease in a 65-year-old woman. Despite normal-looking LAD territory in perfusion images, extensive ischemia was detected involving the right coronary artery (RCA) and left circumflex, with reduced myocardial blood flow reserve. Further analysis revealed abnormalities in the LAD territory and multivessel coronary atherosclerosis. Invasive coronary angiography confirmed RCA occlusion, a ramus artery occlusion, and 80% stenoses in both the LAD and left main, leading to the recommendation for bypass surgery.

Keywords

cardiac PET imaging

multivessel coronary artery disease

myocardial blood flow reserve

invasive coronary angiography

bypass surgery