Body Region: Cardiovascular
Author: Axel Küttner, MD, Erlangen, Germany
1. Patient presentation
- A 73-year-old man with known cardiac two-vessel disease and prior CABG procedure
on RCA and LAD (20 years ago).
- Currently persistent angina. Cardiac risk profile arterial hypertension, hyperlipidemia,
Diabetes mellitus Type 2.
- A conventional cardiac catherisation found the bypass on RCA, a second bypass could not be
- A conventional transthoracic ultrasound revealed a hypokinesia apically and septally.
- The patient was then sent for cardiac CT to visualize the second bypass graft to determine
whether the bypass was not found due to occlusion or could technically not be visualized.