Impact of Cardiac Computed Tomographic Angiography Findings on Planning of Cancer Therapy in Patients with Concomitant Structural Heart Disease
Figure 2
53-year-old male with metastatic melanoma underwent testing prior to Interleukin-2 (IL-2) therapy. Resting electrocardiogram and echocardiogram are normal. Dobutamine stress echocardiogram shows inferior wall inducible ischemia. IL-2 is held while coronary CT angiography is performed. Based on CT findings, IL-2 is started and given uneventfully. (a) Curved reformat view of the right coronary artery shows no atherosclerotic plaque. The conus branch (arrowhead) and sinoatrial nodal branch (arrow) are identified. (b) Curved reformat view of the left anterior descending artery shows no atherosclerotic plaque. The circumflex artery origin (black arrowhead) and first diagonal artery (white arrowhead) are identified. (c) Curved reformat view of the circumflex coronary artery shows no atherosclerotic plaque. The first obtuse marginal branch (arrowhead) is identified. LA = left atrium. LV = left ventricle. RA = right atrium. RV = right ventricle. Ao = Aortic root. PA = pulmonary artery root.
