Left coronary artery thrombus characterized by a fully automatic three-dimensional gated reconstruction.

Rotational coronary angiography and subsequent automatic modeling or reconstruction can result in clinically valuable three-dimensional (3D) representations of the coronaries. From these 3D representations information can be derived for specific coronary segments, such as lesion length, vessel diameter, bifurcation angles, and optimal viewing angles. In this case report, we highlight the characterization of a left coronary artery thrombus by a fully automatic 3D gated reconstruction. This case also shows that detailed 3D morphology of a lesion can be assessed during percutaneous coronary interventions using rotational coronary angiography and subsequent automated image processing. © 2009 Wiley-Liss, Inc.