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Editorial One More Step for Computed Tomography Coronary Angiography Before Heart Valve Surgery Patrick T. O’Gara, MD oronary angiography (CA) to screen for the presence of nance angiography for the assessment of patients with aortic Ccoronary artery disease (CAD) is routinely performed and peripheral vascular disease, percutaneous coronary inter- before elective heart valve surgery. Its use is liberally vention, endovascular stent graft therapy, implanted devices advocated across a wide spectrum of patients by the writing and radiofrequency ablation for rhythm management, and committees for the treatment of patients with valvular heart primary valve repair techniques. CT coronary angiography disease (VHD) of the American College of Cardiology/ (CTCA) for the detection of CAD is no exception when American Heart Association and the European Society of applied to appropriately selected patient subsets, particularly 1,2 Cardiology. Class I indications, all with level of evidence because of its very high negative predictive value (NPV). C, include men 35 to 40 years or older, postmenopausal CTCA has been evaluated in a variety of clinical settings, women, and premenopausal women with coronary risk fac- ranging from suspected coronary artery anomaly to undiffer- tors, in addition to the more traditional considerations of entiated dilated cardiomyopathy. More
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Jul 1, 2009
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