Improved Coronary Risk Assessment With Electron Beam Computed Tomography in an Asymptomatic Female With Familial Hypercholesterolemia Stefan Möhlenkamp,

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Improved Coronary Risk Assessment With Electron Beam Computed Tomography in an Asymptomatic Female With Familial Hypercholesterolemia Stefan Möhlenkamp, MD, Jai-Wun Park, MD, Dietrich Grönemeyer, MD, Robert S. Schwartz, MD, Raimund Erbel, MD Mayo Clinic Proceedings Volume 74, Issue 10, Pages 1017-1020 (October 1999) DOI: 10.4065/74.10.1017 Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Electron beam computed tomographic images (parts 1–8) showing parallel slices beginning at the level of the proximal right descending coronary artery (A in parts 3 and 7), left anterior descending artery (LAD) (B in part 4), and left circumflex artery (LCX) (C in part 4). The lesions are located in the proximal LAD and LCX and correspond to the angiographie lesion sites (closed arrows in parts 1, 5, and 6). Note the calcifications in the ascending aorta (open arrows in parts 1, 2, and 4). Ao = aorta; LV = left ventricle; LVOT = left ventricular outflow tract; RV = right ventricle; RVOT = right ventricular outflow tract. Mayo Clinic Proceedings 1999 74, 1017-1020DOI: (10.4065/74.10.1017) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Coronary angiogram showing advanced lesions of the left circumflex artery (LCX) and the left anterior descending artery (LAD). Quantitative coronary angiography revealed diameter and area stenoses of 64% and 87% (arrow), respectively, for the LCX and 43% and 64%, respectively, for the LAD. Mayo Clinic Proceedings 1999 74, 1017-1020DOI: (10.4065/74.10.1017) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions