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Updated: Jun 23, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
04:40

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans

Published on: August 28, 2018

A diagnostic pitfall of CT calcium scoring in paradoxical low-flow, low-gradient severe aortic stenosis with

Jun Yoshida1, Toraaki Okuyama1, Hiromasa Yamamoto1

  • 1Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan.

European Heart Journal. Case Reports
|June 22, 2026
PubMed

Insights

Computed tomography (CT) calcium scoring may underestimate severe aortic stenosis (AS) in rheumatic heart disease. Three-dimensional transesophageal echocardiography (TEE) offers a reliable alternative for assessing AS severity when CT findings are discordant.

Area of Science:

  • Cardiology
  • Cardiac Imaging
  • Valvular Heart Disease

Background:

  • Computed tomography (CT) calcium scoring is a standard tool for assessing severe aortic stenosis (AS), particularly in paradoxical low-flow, low-gradient (LFLG) cases.
  • However, the accuracy of CT calcium scoring in rheumatic heart disease is questionable due to differing calcification patterns.
Abstract

Keywords:
Case reportComputed tomography calcium scoringParadoxical low-flow low-gradient severe aortic stenosisRheumatic aortic stenosisThree-dimensional planimetryTransoesophageal echocardiography

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