In routine clinical practice surveillance of heart
transplant recipients is usually performed using echocardiography
and conventional coronary angiography. The
latter permits diagnosis and follow-up of coronary allograft
vasculopathy. However, this procedure is invasive
and is not free of complications. Conventional multislice
computed tomography (MSCT) has been shown to be a
useful non-invasive tool for ruling out coronary artery
disease and evaluating cardiac function. However, due
to its limited temporal resolution betablocker administration
is required, and its usefulness in certain patient
populations with restricted response to this medication,
such as heart transplant recipients, may therefore be
limited. Dual-source CT (DSCT) allows evaluation of the
coronary arteries in all individuals independent of their
heart rate. In the case presented here, we demonstrate
that DSCT may be useful for evaluating cardiac function
and ruling out coronary allograft vasculopathy in heart
transplant recipients
