Importance of Multislice Cardiac Computed Tomography For The Diagnosis and Evaluation of Silent Ischemia and Myocardial Infarction: Two Cases

Currently, Multislice Computed Tomography (MSCT) is a very useful and an important tool for the noninvasive evaluation and during the intervention of coronary arterial pathology(1-13). We present the assessment of coronary artery disease in a 82-year-old male and another 57-year old male using a MSCT coronary angiography with 64-slice technology which was first described by Leschka S et al (5). First patient was admitted to the Cardiology Department with exercise dispnea, and palpitation from time to time for about one month. ECG and Exercise ECG ( Maxi-mal effort test) were normal. The patient who was a medical doctor denied directly conventional coronary angiography and 64-slice multi-detector CT technique was performed (Fig.1). Coronary artery plaque leading to severe coronary artery stenosis (%95) at the middle segment of LAD was detected and served as a guide for doing coronary angiography and for determining type and size of the stent. Single coronary lesion (LAD) was detected by coronary angiography (Fig.2) and the result was completely parallel to MSCT. Percutaneous coronary intervention was performed for LAD lesion and a drug-eluting stent was implanted after predilatation.The patient was exam-inved routinely every three mounths. He was asymptomatic at the end of the three years after the procedure.