[The value and advantage of computer assisted tomography as compared to angiography in evaluating patency of aorto-coronary grafts].

Sixteen patients with 31 aorto-coronary grafts have been studied by CT and by coronary arteriography to compare the results of the two methods in the evaluation of graft patency or occlusion. Correlation of the two technics is excellent (100%). However, graft stenoses are not visualized on CT in its present state of technical performance and are the limiting factor for this noninvasive procedure. In patients with precordial pain and aorto-coronary grafts, CT should be done first to evaluate graft patency and only be checked by coronary arteriography if there is disagreement between the CT result and clinical assessment of the case.