ECG-Gated CT Angiography in the Preoperative Evaluation of a Patient with Abdominal Aortic Aneurysm and Concomitant Ischemic Heart Disease: Clinical Observation and Analysis of Method Effectiveness
https://doi.org/10.35401/2541-9897-2025-10-4-107-112
Abstract
Objective: To analyze the diagnostic capabilities of ECG-gated CT angiography based on a clinical case of a patient with an abdominal aortic aneurysm.
Clinical case: A 64-year-old patient with an infrarenal abdominal aortic aneurysm was admitted to the vascular surgery department for surgical treatment. During the preoperative evaluation, which included echocardiography and a positive treadmill test, ECG-gated CT angiography not only confirmed the presence of an abdominal aortic aneurysm but also revealed a hemodynamically significant stenosis of the right coronary artery. These findings, verified by subsequent invasive coronary angiography, resulted in a change in treatment strategy. Coronary artery stenting was initially performed, with vascular surgery postponed.
Conclusions: ECG-gated CT angiography demonstrates high diagnostic value in the comprehensive evaluation of patients with aortic aneurysm, enabling the assessment of both the aorta and coronary arteries in a single examination. Therefore, it is a valuable tool in the comprehensive preoperative assessment of patients with concomitant vascular pathology.
About the Authors
I. G. Voronova
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Россия
Россия
Irina G. Voronova, Radiologist, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Assistant Professor, Diagnostic Radiology Department No. 2, Kuban State Medical University
ulitsa 1 Maya 167, Krasnodar, 350086
E. I. Zyablova
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Россия
Россия
Elena I. Zyablova, Dr. Sci. (Med.), Associate Professor, Head of the Radiology Department, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Head of the Diagnostic Radiology Department No. 2, Kuban State Medical University
Krasnodar
D. O. Kardailskaya
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Россия
Россия
Daria O. Kardailskaya, Radiologist, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Assistant Professor, Diagnostic Radiology Department No. 2, Kuban State Medical University
Krasnodar
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Review
For citations:
Voronova I.G., Zyablova E.I., Kardailskaya D.O. ECG-Gated CT Angiography in the Preoperative Evaluation of a Patient with Abdominal Aortic Aneurysm and Concomitant Ischemic Heart Disease: Clinical Observation and Analysis of Method Effectiveness. Innovative Medicine of Kuban. 2025;10(4):107-112. (In Russ.) https://doi.org/10.35401/2541-9897-2025-10-4-107-112
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