1 From the Departments of Pathology and Radiology, University of Minnesota, Minneapolis, Minnesota, and the Department of Pathology, United Hospitals, Inc.-Miller Division, St. Paul, Minnesota.
Correlative studies were carried out on the coronary arteriograms made during diagnostic procedures and on the specimens obtained at necropsy in 10 cases of coronary heart disease. Of the 134 segments of coronary arteries available for both studies, 44 (33%) were given false-negative arteriographic diagnosis of obstructive atherosclerosis. Factors which may underlie this discrepancy include (1) radiographic technic, (2) projection used, (3) a slitlike lumen adjacent to the atheroma, (4) comparison of severely obstructed segments involved but less severely obstructed, and (5) misinterpretation from the specimen of obstruction present in life.
© 1973 American Heart Association, Inc.
Correlation of the Antemortem Coronary Arteriogram and the Postmortem Specimen
Key Words: Coronary atherosclerosis • Radiographic technic
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