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Updated: Aug 27, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
08:13

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography

Published on: February 16, 2016

[Assessment of myocardial perfusion using myocardial contrast echocardiography--case report]

Maria Olszowska1, Marta Hlawaty, Magdalena Kostkiewicz

  • 1Klinika Chorób Serca i Naczyń Instytut Kardiologii Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.

Przeglad Lekarski
|March 18, 2003
PubMed

Insights

A 58-year-old woman with angina symptoms had significant coronary artery narrowing. Myocardial contrast echocardiography revealed perfusion defects, leading to successful two-vessel percutaneous coronary revascularization.

Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • Assessing coronary artery disease severity is crucial for guiding treatment decisions.
  • Coronary angioplasty revealed critical (80%) and borderline (50%) narrowing in the right coronary and left anterior descending arteries, respectively.

Observation:

  • Myocardial contrast echocardiography was performed at rest and during dobutamine stress to evaluate myocardial perfusion.
  • Transient perfusion defects were observed in the territories of both the right coronary artery and the left anterior descending coronary artery.

Findings:

  • Myocardial contrast echocardiography demonstrated perfusion deficits consistent with the anatomical stenoses identified.
  • Scintigraphy corroborated the findings of reduced myocardial blood flow in the affected coronary territories.

Implications:

  • This case highlights the utility of myocardial perfusion imaging in conjunction with anatomical assessment for evaluating coronary artery disease.
  • Successful two-vessel percutaneous coronary revascularization was achieved, addressing the significant stenoses and perfusion abnormalities.

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