A 76-year-old male underwent a persantin PET/CT scan which showed a positive ECG and nuclear perfusion, revealing a distal left main blockage and severe coronary artery disease, leading to CABG surgery. A 70-year-old male with chest pain underwent a cardiac CTA showing a significant right coronary artery lesion, which was treated with stent placement. A third patient was found to have a left anterior descending coronary artery fistula.

1. Cardiology Cases
Presentation
DR Ihab Suliman
MBBS,ECFMG,MRCP,CBNC,AR Card
16/5/2012

2. Case 1
• 76 years old male with CP , sent for
persantin PET/CT Rest –Stress Rubidium

3. Base Line ECG

4. ECG after completion of Persantin
infusion

7. • Persantin ECG Positive
• Nuclear perfusion strongly positive .
• Cath showed Distal Left Main plus severe
CAD .
• Sent For CABG

8. Case 2
• 70 years old male with Anginal Pain .
• Cardiac CTA showed Significant RCA
lesion

9. RCA –LAO view

10. RCA –LAO view after stenting

11. Case -3
LAD Coronary Fistulae