{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:00:14Z","timestamp":1777500014435,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Cardiol"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Left main coronary artery thrombus (LMCA-T) is a rare disease state and diagnosed with invasive coronary angiography (ICA). We present a case of LMCA-T diagnosed with coronary computed tomography angiography (CTA) and treated without ICA in a patient who presented to a hospital in the middle of war zone in Erbil, Iraqi Kurdistan. Coronary CTA performed 1\u2009month later demonstrated resolution of the thrombus. Fractional flow reserve computed from computed tomography (FFR-CT; HeartFlow, Redwood City, CA) performed retrospectively confirmed that the clot was not hemodynamically significant at the time of diagnosis. This case demonstrates the diagnostic capabilities of coronary CTA and FFR-CT when ICA is not readily available.<\/jats:p>","DOI":"10.1177\/1179546819894592","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T06:40:01Z","timestamp":1576046401000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Left Main Coronary Artery Thrombus Diagnosed and Managed With Coronary Computed Tomography Angiography and Fractional Flow Reserve Derived From Computed Tomography"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0679-3190","authenticated-orcid":false,"given":"Shone O","family":"Almeida","sequence":"first","affiliation":[{"name":"Cardiovascular Research Foundation of Southern California, Beverly Hills, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasih M","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Cardiology and CT Department, Surgical Specialty Hospital, Erbil, Iraqi Kurdistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald P","family":"Karlsberg","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Foundation of Southern California, Beverly Hills, CA, USA"},{"name":"Cedars Sinai Heart Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,11]]},"reference":[{"key":"bibr1-1179546819894592","doi-asserted-by":"publisher","DOI":"10.1139\/y2012-111"},{"key":"bibr2-1179546819894592","first-page":"E243","volume":"20","author":"Klein AJ","year":"2008","journal-title":"J Invasive Cardiol"},{"key":"bibr3-1179546819894592","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jew148"},{"key":"bibr4-1179546819894592","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2011.12.006"}],"container-title":["Clinical Medicine Insights: Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179546819894592","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1179546819894592","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179546819894592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:13:39Z","timestamp":1777389219000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1179546819894592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":4,"alternative-id":["10.1177\/1179546819894592"],"URL":"https:\/\/doi.org\/10.1177\/1179546819894592","relation":{},"ISSN":["1179-5468","1179-5468"],"issn-type":[{"value":"1179-5468","type":"print"},{"value":"1179-5468","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"1179546819894592"}}