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Heart wall rupture after a false negative computed tomography coronary angiography

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Computed tomography coronary angiography (CTCA) is considered to be the highest sensitivity, noninvasive test for the diagnosis of coronary artery disease, with a negative predictive value of 97 to 99%. The case is presented of a ventricular free wall rupture after myocardial infarction, with a delayed diagnosis due to a false negative CTCA result. We believe that this case highlights possible limitations of widening CTCA indications and the importance of experience in the correct interpretation of the test.

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Ventosa Fernández G, Padrol D, Vidal Bonet L, Fletcher Sanfeliu D, Enriquez Palma F, Fernández Tarrío R, et al. Heart wall rupture after a false negative computed tomography coronary angiography. CIR CARDIOVASC. 2019 Jan;26(1):62-4.

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