Elongated eccentric soft coronary plaque: Major diagnostic pitfall on quantitative coronary angiography overpowered by computed tomography coronary angiography and intravascular ultrasound

E. Ghersin, D. Litmanovich, A. Kerner, A. Engel, T. Hayek

Research output: Contribution to journalArticle


We describe a significant left anterior descending coronary lesion in a patient with unstable angina pectoris. This lesion was erroneously underestimated using quantitative coronary angiography; however, CT coronary angiography correctly showed a significant, elongated, eccentric, soft plaque that was later confirmed by repeated quantitative coronary angiography with intravascular ultrasound. As showed, CT coronary angiography may offer a reliable non-invasive alternative to quantitative coronary angiography and intravascular ultrasound by enabling a true 3-D coronary lumenogram combined with plaque detection and characterization.

Original languageEnglish (US)
Pages (from-to)267-270
Number of pages4
JournalAustralasian Radiology
Issue number3
StatePublished - Jun 1 2006
Externally publishedYes



  • Computed tomography coronary angiography
  • Diagnostic pitfall
  • Elongated eccentric soft coronary plaque
  • Intravascular ultrasound
  • Quantitative coronary angiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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