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(Circulation. 2003;108:2153.)
© 2003 American Heart Association, Inc.

Images in Cardiovascular Medicine

Rotational Aortogram With Three-Dimensional Reconstruction in a Case of Celiac Artery Stenosis

Fernando Boccalandro, MD; Gregory Giesler, MD; Muhamad Amhad, MD; Richard W. Smalling, MD, PhD

From the Division of Cardiology, Department of Internal Medicine, University of Texas Medical School, Houston, Tex.

Correspondence to Fernando Boccalandro, MD, Division of Cardiology, Department of Internal Medicine, University of Texas Medical School, 6431 Fannin St, MSB 1.246, Houston, TX 77030. E-mail fernando.boccalandro@uth.tmc.edu

An extract of the first 250 words of the full text is provided, because this article has no abstract.

A65-year-old woman with a history of hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease, and peripheral vascular disease presented to the hospital after 4 months of severe postprandial diffuse abdominal pain 15 minutes after eating and accompanied by emesis. Before admission, she had undergone a complete gastrointestinal evaluation, including liver and pancreatic function tests, an abdominal ultrasound that showed no signs of hepatobiliary disease, and an upper endoscopy that showed mild erosive gastritis with a positive test for Helicobacter pylori.

Because her symptoms suggested abdominal angina, magnetic resonance angiography was performed. This study suggested celiac artery stenosis. She then underwent abdominal rotational aortography with 3D reconstruction, which showed a significant celiac artery stenosis (Figure). After the rotational aortography, the patient underwent successful celiac artery percutaneous angioplasty and stent implantation. Immediately after catheterization her pain resolved and she began her dietary intake. Two days latter she was consuming a normal diabetic diet and starting a physical rehabilitation program with no limitations.

View larger version (155K): [in this window] [in a new window]   Abdominal rotational aortography with 3D reconstruction. The abdominal aorta is seen with its different branches and a significant proximal celiac artery stenosis (*). Ao indicates abdominal aorta; ca, celiac artery; ha, hepatic artery; sa, splenic artery; sma, superior mesenteric artery; and gda, gastroduodenal artery.

Rotational aortography with 3D reconstruction is an angiographic technique currently under clinical development. It consists of a 180-degree fast rotation (22.5 degrees/second) of the C-arm around the plane of imaging, while a bolus of contrast is injected through a power injector with a pigtail . . . [Full Text of this Article]